Century Lake Home Health

NPI #1912316837 in Peoria, Arizona

Provider Information

NPI Number: 1912316837
Entity Type: Organization
Organization Name: Century Lake Home Health
Primary Specialty: Home Health
Enumeration Date: Aug 5, 2014
Last Updated: Aug 5, 2014

Practice Location

Address: 6960 W PEORIA AVE
Address 2: #153
City: Peoria
State: Arizona
ZIP Code: 85345-6023
Phone: (623) 203-8673

Authorized Official

Name: MS. BEATRICE ANN CRAWFORD
Title: PRESIDENT
Phone: (623) 203-8673

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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