Provider Demographics
NPI:1972374429
Name:HODALI, ZAHIA HODALI
Entity Type:Individual
Prefix:
First Name:ZAHIA
Middle Name:HODALI
Last Name:HODALI
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 1:7425 HERMITAGE RD
Mailing Address - Street 2:
Mailing Address - City:CONCORD TOWNSHIP
Mailing Address - State:OH
Mailing Address - Zip Code:44077-9301
Mailing Address - Country:US
Mailing Address - Phone:440-520-0190
Mailing Address - Fax:
Practice Address - Street 1:7425 HERMITAGE RD
Practice Address - Street 2:
Practice Address - City:CONCORD TOWNSHIP
Practice Address - State:OH
Practice Address - Zip Code:44077-9301
Practice Address - Country:US
Practice Address - Phone:440-520-0190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide