Provider Demographics
NPI:1851177281
Name:SOCIALLY ORIENTED UNITED LIVING, INC.
Entity Type:Organization
Organization Name:SOCIALLY ORIENTED UNITED LIVING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROZHANSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-669-1900
Mailing Address - Street 1:145 S FAIRFAX AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-2166
Mailing Address - Country:US
Mailing Address - Phone:855-669-1900
Mailing Address - Fax:
Practice Address - Street 1:153 W 102ND ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90003-4605
Practice Address - Country:US
Practice Address - Phone:855-669-1900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOCIALLY ORIENTED UNITED LIVING, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-01
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care