Provider Demographics
NPI:1164758561
Name:ZOILUS, INC
Entity Type:Organization
Organization Name:ZOILUS, INC
Other - Org Name:AEGIN PLACE SOUTHEAST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KALA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:423-698-0108
Mailing Address - Street 1:912 BELVOIR HILLS CIRCLE
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37412
Mailing Address - Country:US
Mailing Address - Phone:423-698-0108
Mailing Address - Fax:423-698-0873
Practice Address - Street 1:912 BELVOIR HILLS CIRCLE
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37412
Practice Address - Country:US
Practice Address - Phone:423-698-0108
Practice Address - Fax:423-698-0873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-20
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health