Provider Demographics
NPI:1417649625
Name:CENTRIC SOLUTIONS LLC
Entity type:Organization
Organization Name:CENTRIC SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ABDIKARIM
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:701-793-3282
Mailing Address - Street 1:2601 14TH ST S APT 22
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-6903
Mailing Address - Country:US
Mailing Address - Phone:701-793-3282
Mailing Address - Fax:
Practice Address - Street 1:2601 14TH ST S APT 22
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-6903
Practice Address - Country:US
Practice Address - Phone:701-793-3282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-24
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care