Provider Demographics
NPI:1043704893
Name:ZAKAI CARE TRANSPORTATION SERVICES
Entity Type:Organization
Organization Name:ZAKAI CARE TRANSPORTATION SERVICES
Other - Org Name:ZAKAI CARE TRANSPORTATION SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:DEVITA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:DOUGLAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-318-5002
Mailing Address - Street 1:675N DEIS DR STE 126
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-8135
Mailing Address - Country:US
Mailing Address - Phone:513-318-5002
Mailing Address - Fax:513-223-7022
Practice Address - Street 1:675N DEIS DR STE 126
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-8135
Practice Address - Country:US
Practice Address - Phone:513-318-5002
Practice Address - Fax:513-223-7022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-15
Last Update Date:2018-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRR573223347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle