Provider Demographics
NPI:1861017071
Name:ZETIS HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:ZETIS HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:EMILIA
Authorized Official - Middle Name:IFEYINWA
Authorized Official - Last Name:MBANWITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-636-4483
Mailing Address - Street 1:5769 BELT LINE RD APT 708
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-7676
Mailing Address - Country:US
Mailing Address - Phone:214-815-9187
Mailing Address - Fax:
Practice Address - Street 1:5769 BELT LINE RD APT 708
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-7676
Practice Address - Country:US
Practice Address - Phone:214-815-9187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-12
Last Update Date:2020-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health