Penta Nascent Corporation
NPI 1467670190 · Intellectual Disabilities Intermediate Care Facility · Centralia, IL
Penta Nascent Corporation is a Intellectual Disabilities Intermediate Care Facility organization in Centralia, IL (NPI 1467670190).
Provider details
- NPI number
- 1467670190
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Georgia Miller, Ceo(618) 548-4531
- License
- 0038638 (IL)
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-04-20
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.