Provider Demographics
NPI:1750816609
Name:RZ ENTERPRISE, LLC
Entity Type:Organization
Organization Name:RZ ENTERPRISE, LLC
Other - Org Name:MARANATHA MANOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:ZELLITTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-517-6861
Mailing Address - Street 1:5416 WOODED GLEN PL
Mailing Address - Street 2:
Mailing Address - City:ANTELOPE
Mailing Address - State:CA
Mailing Address - Zip Code:95843-5994
Mailing Address - Country:US
Mailing Address - Phone:916-517-6861
Mailing Address - Fax:916-735-5390
Practice Address - Street 1:5416 WOODED GLEN PL
Practice Address - Street 2:
Practice Address - City:ANTELOPE
Practice Address - State:CA
Practice Address - Zip Code:95843-5994
Practice Address - Country:US
Practice Address - Phone:916-517-6861
Practice Address - Fax:916-735-5390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-28
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA347005627310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility