Centra Pace- Gretna

NPI #1972969871 in Gretna, Virginia

Provider Information

NPI Number: 1972969871
Entity Type: Organization
Organization Name: Centra Pace- Gretna
Subpart: Yes (part of a larger organization)
Parent Organization: CENTA HEALTH, INC
Primary Specialty: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Enumeration Date: Jan 7, 2016
Last Updated: Jan 7, 2016

Practice Location

Address: 1220 W GRETNA RD
City: Gretna
State: Virginia
ZIP Code: 24557-4087
Phone: (434) 200-7000

Authorized Official

Name: GEORGE C GRAHAM, MBA
Title: EXECUTIVE DIRECTOR
Phone: (434) 200-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization	251T00000X	Primary

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