Provider Demographics
NPI:1437459807
Name:CENTURY HEALTH CARE, INC.
Entity Type:Organization
Organization Name:CENTURY HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:P
Authorized Official - Last Name:QUEVEDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-557-2921
Mailing Address - Street 1:8600 NW 17TH ST
Mailing Address - Street 2:SUITE #160
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33126-1039
Mailing Address - Country:US
Mailing Address - Phone:305-557-2921
Mailing Address - Fax:305-827-3736
Practice Address - Street 1:8600 NW 17TH ST
Practice Address - Street 2:SUITE #160
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33126-1039
Practice Address - Country:US
Practice Address - Phone:305-557-2921
Practice Address - Fax:305-827-3736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty