NPI: 1669886230
Provider Name: CENTENNIAL HEALTHCARE LLC
Doing Business As: GATEWAY HOMES
Classification: Skilled Nursing Facility - 3140N1450X
Entity Type: Organization
Specialization: Nursing Care, Pediatric
Address:
7504 CAPPS AVE
RESEDA, CA
ZIP 91335
Phone: (818) 881-1182
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CENTENNIAL HEALTHCARE LLC is a nursing care and pediatric skilled nursing facility in Reseda, CA. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. CENTENNIAL HEALTHCARE LLC NPI is 1669886230. The provider is registered as an organization entity type.
The provider Is Doing Business As Gateway Homes.
The provider's business location address is:
7504 CAPPS AVE
RESEDA, CA
ZIP 91335-710
Phone: (818) 881-1182
Fax: (562) 268-1608
The provider's authorized official is Harry Jacobs .
The authorized official title is Manager and has the following contact phone number (818) 881-1182.
The enumeration date for this NPI number is 6/11/2014 and was last updated on 6/11/2014.