Organization · Type 2 NPI
Penta Nascent Corporation
Intellectual Disabilities Intermediate Care Facility · Centralia, IL
NPI number
1467670190
Active
Practice location
338 Country Club Rd
Centralia, IL 62801-3742
Mailing address
PO Box 1690
Centralia, IL 62801-9124
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 0038638 (IL) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Other intellectual disabilities intermediate care facility providers in Centralia
- Illinois Department of Human ServicesIntellectual Disabilities Intermediate Care Facility Centralia, IL NPI 1003960394
- Penta Nascent CorporationIntellectual Disabilities Intermediate Care Facility Centralia, IL NPI 1508086810
- Penta Nascent CorporationIntellectual Disabilities Intermediate Care Facility Centralia, IL NPI 1881814192
- Penta Group Inc.Intellectual Disabilities Intermediate Care Facility Centralia, IL NPI 1932246071
About NPI 1467670190
Penta Nascent Corporation's National Provider Identifier is 1467670190, issued on Apr 20, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Centralia, IL. The record was last updated on Aug 22, 2020.