Provider Demographics
NPI:1215546361
Name:ZION HEALTH SYSTEMS, LLC
Entity Type:Organization
Organization Name:ZION HEALTH SYSTEMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IFEOLUWA
Authorized Official - Middle Name:MOBOLAJI
Authorized Official - Last Name:OYEFESO
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:443-355-8041
Mailing Address - Street 1:516 N ROLLING RD STE 305
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-4142
Mailing Address - Country:US
Mailing Address - Phone:443-355-8041
Mailing Address - Fax:410-766-0100
Practice Address - Street 1:516 N ROLLING RD STE 305
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-4142
Practice Address - Country:US
Practice Address - Phone:443-355-8041
Practice Address - Fax:410-766-0100
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ZION HEALTH SYSTEMS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-24
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty