| NPI | 1760697072 |
|---|---|
| Other Name | CENTENNIAL VILLAGE |
| Entity Type | Organization |
| Authorized Contact | BARRY FELDSCHER Partner 215-477-1170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |