Provider Demographics
NPI:1629643341
Name:ZURI DURABLE MEDICAL EQUIPMENT
Entity Type:Organization
Organization Name:ZURI DURABLE MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZILLAH
Authorized Official - Middle Name:JULIANA
Authorized Official - Last Name:MUSUNGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-410-9493
Mailing Address - Street 1:3443 S STATE ST STE 7
Mailing Address - Street 2:
Mailing Address - City:SOUTH SALT LAKE
Mailing Address - State:UT
Mailing Address - Zip Code:84115-4915
Mailing Address - Country:US
Mailing Address - Phone:801-410-9493
Mailing Address - Fax:
Practice Address - Street 1:3443 S STATE ST STE 7
Practice Address - Street 2:
Practice Address - City:SOUTH SALT LAKE
Practice Address - State:UT
Practice Address - Zip Code:84115-4915
Practice Address - Country:US
Practice Address - Phone:801-410-9493
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-25
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies