Provider Demographics
NPI:1790317105
Name:ZRAHIL HEALTHCARE LLC
Entity Type:Organization
Organization Name:ZRAHIL HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:FATIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SILLAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-352-6642
Mailing Address - Street 1:10905 FAIRCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-4807
Mailing Address - Country:US
Mailing Address - Phone:614-352-6642
Mailing Address - Fax:
Practice Address - Street 1:10905 FAIRCHESTER DR
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-4807
Practice Address - Country:US
Practice Address - Phone:614-352-6642
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-04
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities