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1215578059
CENTRICARE LLC
GRAND PRAIRIE, TX
NPI
1215578059
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Entity Type
Organization
Authorized Contact
DIVINE NYIAWUNG
President
214-984-1306
Organization Subpart ?
No
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
Enumeration Date
2019-10-02
Last Update Date
2019-10-02
Business Address
CENTRICARE LLC
2820 PARK PLACE DR
GRAND PRAIRIE, TX 75052-8521
Phone number: 214-984-1306
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Mailing Address
CENTRICARE LLC
2820 PARK PLACE DR
GRAND PRAIRIE, TX 75052-8521
Phone number: 214-984-1306
Copy
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