Penta Nascent Corporation
Penta Nascent Corporation is an Intellectual Disabilities Intermediate Care Facility in Centralia, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
332 Country Club RdCentralia, IL 62801-3742
Phone: (618) 533-7922
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Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence 0038646 (IL) |
|---|
Record details
| NPI number | 1508086810 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Georgia Miller — Ceo · (618) 548-4561 |
| Other names | Park Place |
| NPI enumerated | April 27, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | Po Box 1690, Centralia, IL 62801-9124 |
Other providers in Centralia
-
Illinois Department of Human Services
1535 W McCord St, Centralia, IL 62801-5805 · (618) 532-1811
-
Penta Group Inc
2150 E McCord St, Centralia, IL 62801-6730 · (618) 918-3770
-
Penta Nascent Corporation
338 Country Club Rd, Centralia, IL 62801-3742 · (618) 532-9630
-
Penta Nascent Corporation
920 W 4th St, Centralia, IL 62801-5718 · (618) 533-1199