Provider Demographics
NPI:1457037525
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 STE 200
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-2186
Mailing Address - Country:US
Mailing Address - Phone:310-775-7586
Mailing Address - Fax:
Practice Address - Street 1:801 W 70TH ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90044-5218
Practice Address - Country:US
Practice Address - Phone:855-669-1900
Practice Address - Fax:323-983-4323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-23
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty