Provider Demographics
NPI:1629854062
Name:ZOA HEALTHCARE SERVICES, INC
Entity Type:Organization
Organization Name:ZOA HEALTHCARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUNHEE
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-819-7055
Mailing Address - Street 1:3405 DULUTH PARK LN # A
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-3287
Mailing Address - Country:US
Mailing Address - Phone:678-819-7055
Mailing Address - Fax:
Practice Address - Street 1:3405 DULUTH PARK LN # A
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-3287
Practice Address - Country:US
Practice Address - Phone:678-819-7055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-01
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health