Provider Demographics
NPI:1073251179
Name:ZION CLASSIQUE CARE AND HUMAN SERVICES II
Entity Type:Organization
Organization Name:ZION CLASSIQUE CARE AND HUMAN SERVICES II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DUDUYEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:SAGAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-603-5168
Mailing Address - Street 1:3306 E BLUEJAY DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-5710
Mailing Address - Country:US
Mailing Address - Phone:480-590-0357
Mailing Address - Fax:
Practice Address - Street 1:3306 E BLUEJAY DR
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-5710
Practice Address - Country:US
Practice Address - Phone:480-590-0357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ZION CLASSIQUE CARE & HUMAN SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-05-26
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health