Provider Demographics
NPI:1629579321
Name:ZYAN LAGACY SERVICES LLC
Entity Type:Organization
Organization Name:ZYAN LAGACY SERVICES LLC
Other - Org Name:ZYAN STAFFING SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:
Authorized Official - First Name:HENDKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-237-6276
Mailing Address - Street 1:5813 SE 47TH AVE APT A105
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-9103
Mailing Address - Country:US
Mailing Address - Phone:772-281-6848
Mailing Address - Fax:
Practice Address - Street 1:5813 SE 47TH AVE APT A105
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-9103
Practice Address - Country:US
Practice Address - Phone:772-281-6848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-27
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care