Centria Healthcare, NPI 1649677873
Developmentally Disabled Services Day Training Agency in Taylor, MI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1649677873
NPI Entity Type Organization
Provider Name Centria Healthcare
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 7893 Harding St, Taylor, MI, US
Provider Mailing Address 7893 Harding St, Taylor, MI, US, 481802535
Is Sole Proprietor? No
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Organization Official

Official Name MRS. COTA/L Marianne Denise Roden
Official Position COTA/L
Phone 313-316-0923

Primary Taxonomy

Taxonomy Code

251C00000X

Taxonomy Name Developmentally Disabled Services Day Training Agency
Classification

Day Training, Developmentally Disabled Services

Group

Agencies

License No. 5202001741
License State MI
Description These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Business Address

Centria Healthcare
7893 Harding St

Taylor, MI, US

Phone: 313-316-0923

Mailing Address

Centria Healthcare
7893 Harding St
Taylor, MI, US
ZIP 481802535
Phone: 313-316-0923

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

261Q00000X

Ambulatory Health Care Facilities

Clinic/Center

5202001741 MI No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
5202001741 MI ALL OTHER INSURANCE COMPANY 01
5202001741 MI MEDICAID 05

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NPI Name Taxonomy Address

1659096923

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