Provider Demographics
NPI:1518217702
Name:ZOEY CARE
Entity Type:Organization
Organization Name:ZOEY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TRACI
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:LONGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-563-9045
Mailing Address - Street 1:15595 LONGSPUR LN
Mailing Address - Street 2:
Mailing Address - City:TERRELL
Mailing Address - State:TX
Mailing Address - Zip Code:75160-1004
Mailing Address - Country:US
Mailing Address - Phone:972-563-9045
Mailing Address - Fax:
Practice Address - Street 1:15595 LONGSPUR LN
Practice Address - Street 2:
Practice Address - City:TERRELL
Practice Address - State:TX
Practice Address - Zip Code:75160-1004
Practice Address - Country:US
Practice Address - Phone:972-563-9045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-14
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health