Provider Demographics
NPI:1750423018
Name:ZION'S DAUGHTER HOME CARE
Entity type:Organization
Organization Name:ZION'S DAUGHTER HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BURCH
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, MHS
Authorized Official - Phone:704-865-9005
Mailing Address - Street 1:PO BOX 1568
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28075-1568
Mailing Address - Country:US
Mailing Address - Phone:704-865-9005
Mailing Address - Fax:704-865-9020
Practice Address - Street 1:4201 DOWLING DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-4509
Practice Address - Country:US
Practice Address - Phone:704-865-9005
Practice Address - Fax:704-865-9020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3550251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based