Provider Demographics
NPI:1023728292
Name:ZA'KIYAH HOUSE HOUSING
Entity type:Organization
Organization Name:ZA'KIYAH HOUSE HOUSING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:RONNA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:DAVIS-MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:412-595-6666
Mailing Address - Street 1:832 KIRKPATRICK AVE
Mailing Address - Street 2:
Mailing Address - City:BRADDOCK
Mailing Address - State:PA
Mailing Address - Zip Code:15104-2512
Mailing Address - Country:US
Mailing Address - Phone:412-595-6666
Mailing Address - Fax:
Practice Address - Street 1:832 KIRKPATRICK AVE
Practice Address - Street 2:
Practice Address - City:BRADDOCK
Practice Address - State:PA
Practice Address - Zip Code:15104-2512
Practice Address - Country:US
Practice Address - Phone:412-595-6666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-29
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care