Provider Demographics
NPI:1134741184
Name:ZAWADI HONOR CARE CORPORATION
Entity type:Organization
Organization Name:ZAWADI HONOR CARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARITY
Authorized Official - Middle Name:
Authorized Official - Last Name:NYINGI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-841-0912
Mailing Address - Street 1:6203 E 112TH PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-7724
Mailing Address - Country:US
Mailing Address - Phone:918-841-0912
Mailing Address - Fax:
Practice Address - Street 1:525 S MAIN ST STE 311
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74103-4509
Practice Address - Country:US
Practice Address - Phone:918-841-0912
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-13
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable