Provider Demographics
NPI:1558837229
Name:NEW CENTER INN COMPANY
Entity Type:Organization
Organization Name:NEW CENTER INN COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:
Authorized Official - First Name:SONDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:CUNNINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-600-2341
Mailing Address - Street 1:158 PINGREE ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202-2022
Mailing Address - Country:US
Mailing Address - Phone:313-872-3434
Mailing Address - Fax:248-208-7093
Practice Address - Street 1:158 PINGREE ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-2022
Practice Address - Country:US
Practice Address - Phone:313-872-3434
Practice Address - Fax:248-208-7093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-19
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home