| NPI | 1912565482 |
|---|---|
| Doing Business As | SRC CENTENNIAL |
| Doing Business As | SENIOR RESIDENTIAL CARE CENTENNIAL |
| Entity Type | Organization |
| Authorized Contact | MARIA BEATRICE MERCADO Manager 702-325-5355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2024-05-13 |