Provider Demographics
NPI:1073672408
Name:ZZENITH INC
Entity Type:Organization
Organization Name:ZZENITH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:IGWILO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-999-2089
Mailing Address - Street 1:1801 N TRYON ST
Mailing Address - Street 2:SUITE B 129
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28206-2704
Mailing Address - Country:US
Mailing Address - Phone:704-999-2089
Mailing Address - Fax:704-405-8557
Practice Address - Street 1:1801 N TRYON ST
Practice Address - Street 2:SUITE B 129
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28206-2704
Practice Address - Country:US
Practice Address - Phone:704-999-2089
Practice Address - Fax:704-405-8557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7704688Medicaid
NC7704688Medicaid