Provider Demographics
NPI:1932280716
Name:CENTER HEALTH CARE CENTER
Entity Type:Organization
Organization Name:CENTER HEALTH CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXCUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWERENCE
Authorized Official - Middle Name:L
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-546-1271
Mailing Address - Street 1:1304 BERKLEY AVE
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81004-3002
Mailing Address - Country:US
Mailing Address - Phone:719-546-1271
Mailing Address - Fax:
Practice Address - Street 1:1304 BERKLEY AVE
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81004-3002
Practice Address - Country:US
Practice Address - Phone:719-546-1271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health