NPI | 1356000467 |
---|---|
Other Name | CENTRO EDEN HEALTH CARE, INC. |
Entity Type | Organization |
Authorized Contact | LISA M. PREMO Billing Manager 508-798-1900 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251T00000X PACE Provider Organization |
Enumeration Date | 2021-12-16 |
Last Update Date | 2021-12-16 |