Provider Demographics
NPI:1700514676
Name:ZILAN HOME CARE, LLC
Entity type:Organization
Organization Name:ZILAN HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIZZY
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-525-2331
Mailing Address - Street 1:6205 ABERCORN ST STE 111
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-5529
Mailing Address - Country:US
Mailing Address - Phone:912-525-2331
Mailing Address - Fax:912-428-5778
Practice Address - Street 1:6205 ABERCORN ST STE 111
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-5529
Practice Address - Country:US
Practice Address - Phone:912-525-2331
Practice Address - Fax:912-428-5778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care