Provider Demographics
NPI:1033279328
Name:ZOE COMMUNITY SERVICES
Entity Type:Organization
Organization Name:ZOE COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVIE
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:CHERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-355-8970
Mailing Address - Street 1:PO BOX 20476
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-0476
Mailing Address - Country:US
Mailing Address - Phone:252-355-8970
Mailing Address - Fax:252-355-8970
Practice Address - Street 1:2110 SIR RALEIGH CT
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-5567
Practice Address - Country:US
Practice Address - Phone:252-355-8970
Practice Address - Fax:252-355-8970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3418049251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3418049Medicaid