Provider Demographics
NPI:1164398244
Name:ZIALTY BUSINESS SERVICES LLC
Entity type:Organization
Organization Name:ZIALTY BUSINESS SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CARLIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:JEFFERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-408-1802
Mailing Address - Street 1:10384 DAVIS RD
Mailing Address - Street 2:
Mailing Address - City:GLEN SAINT MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32040-3616
Mailing Address - Country:US
Mailing Address - Phone:904-408-1802
Mailing Address - Fax:
Practice Address - Street 1:10384 DAVIS RD
Practice Address - Street 2:
Practice Address - City:GLEN SAINT MARY
Practice Address - State:FL
Practice Address - Zip Code:32040-3616
Practice Address - Country:US
Practice Address - Phone:904-408-1802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-15
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health