Provider Demographics
NPI:1447408059
Name:IZEN HEALTHCARE SERVICES, INC.
Entity Type:Organization
Organization Name:IZEN HEALTHCARE SERVICES, INC.
Other - Org Name:ACCESSIBLE HOME HEALTHCARE OF EAST DALLAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MUFADDAL
Authorized Official - Middle Name:
Authorized Official - Last Name:BOOTWALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-987-2100
Mailing Address - Street 1:10000 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4177
Mailing Address - Country:US
Mailing Address - Phone:214-987-2100
Mailing Address - Fax:214-987-2104
Practice Address - Street 1:10000 N CENTRAL EXPY
Practice Address - Street 2:SUITE 400
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4177
Practice Address - Country:US
Practice Address - Phone:214-987-2100
Practice Address - Fax:214-987-2104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-08
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX012144251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health