Provider Demographics
NPI:1740806876
Name:MOUNT ZION HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:MOUNT ZION HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GODWILL
Authorized Official - Middle Name:NJEBA
Authorized Official - Last Name:SAMARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-641-3832
Mailing Address - Street 1:193 SOLSTICE DR
Mailing Address - Street 2:
Mailing Address - City:HAW RIVER
Mailing Address - State:NC
Mailing Address - Zip Code:27258-8847
Mailing Address - Country:US
Mailing Address - Phone:919-641-3832
Mailing Address - Fax:
Practice Address - Street 1:2828 HILLSBOROUGH RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4046
Practice Address - Country:US
Practice Address - Phone:919-641-3832
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-24
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care