Provider Demographics
NPI:1851160709
Name:HANKS, ZELPHIA B
Entity Type:Individual
Prefix:
First Name:ZELPHIA
Middle Name:B
Last Name:HANKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 MORGAN RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27537-6181
Mailing Address - Country:US
Mailing Address - Phone:252-701-3250
Mailing Address - Fax:
Practice Address - Street 1:175 MORGAN RD
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27537-6181
Practice Address - Country:US
Practice Address - Phone:252-701-3250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-20
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home