PENTA NASCENT CORPORATION is an intermediate care facility mentally retarded in Centralia, IL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. PENTA NASCENT CORPORATION NPI is 1881814192. The provider is registered as an organization entity type.
The provider Is Doing Business As Colonial Apts..
The provider's business location address is:
920 W 4TH ST
CENTRALIA, IL
ZIP 62801-718
Phone: (618) 533-1199
The provider's authorized official is Georgia Miller .
The authorized official title is Ceo and has the following contact phone number (618) 548-4561.
The enumeration date for this NPI number is 4/27/2007 and was last updated on 8/22/2020.