Provider Demographics
NPI:1790459840
Name:THE ZABELLE HOME, LLC
Entity Type:Organization
Organization Name:THE ZABELLE HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROOM-VINCETI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-550-0003
Mailing Address - Street 1:2151 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-2922
Mailing Address - Country:US
Mailing Address - Phone:313-561-6060
Mailing Address - Fax:863-623-4246
Practice Address - Street 1:651 WOODCREST DR
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-1159
Practice Address - Country:US
Practice Address - Phone:313-550-5437
Practice Address - Fax:313-561-6061
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MARCEL R ELANJIAN D O. PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-08-03
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Multi-Specialty