Provider Demographics
NPI:1275824153
Name:CENTURY 21ST HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:CENTURY 21ST HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LUBA
Authorized Official - Middle Name:LEA
Authorized Official - Last Name:DROZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:310-866-7395
Mailing Address - Street 1:8540 GULANA AVE
Mailing Address - Street 2:UNIT K 3018
Mailing Address - City:PLAYA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90293
Mailing Address - Country:US
Mailing Address - Phone:310-866-1575
Mailing Address - Fax:
Practice Address - Street 1:8540 GULANA AVE
Practice Address - Street 2:UNIT K 3018
Practice Address - City:PLAYA DEL REY
Practice Address - State:CA
Practice Address - Zip Code:90293-7325
Practice Address - Country:US
Practice Address - Phone:310-866-1575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-26
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health