Organization
CENTURY LAKE HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEATRICE ANN CRAWFORD (PRESIDENT)
(623) 203-8673
Entity
Organization
Contact information
Practice address
6960 W PEORIA AVE, #153, PEORIA, AZ 85345-6023
(623) 203-8673
(623) 486-8454
Mailing address
6960 W PEORIA AVE, #153, PEORIA, AZ 85345-6023
(623) 203-8673
(623) 486-8454
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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