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General NPI Number Information
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NPI Number | 1366521528
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Entity Type | Organization
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Legal Business Name | CENTURY HEALTHCARE SERVICES, INC
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 222 JAY RD
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City | UNION
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State | OH
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Zip | 45322-2959
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Country | US
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Telephone | 614-446-4175
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Fax | 614-274-0403
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Provider Business Mailing Address
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Address Line | 2672 WHIMSWILLOW DR
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City | COLUMBUS
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State | OH
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Zip | 43207-3459
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Country | US
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Telephone | 614-446-4175
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Fax | 614-274-0403
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MOM R PHAY
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Credential |
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Telephone | 614-446-4175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1653147
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License Number State | OH
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