Provider Demographics
NPI:1780977272
Name:ZHANRE OUTREACH ENTERPRISE
Entity type:Organization
Organization Name:ZHANRE OUTREACH ENTERPRISE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:M
Authorized Official - Last Name:NARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-605-0966
Mailing Address - Street 1:4620 E 9 MILE RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48091-2549
Mailing Address - Country:US
Mailing Address - Phone:586-806-4882
Mailing Address - Fax:
Practice Address - Street 1:4620 E 9 MILE RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48091-2549
Practice Address - Country:US
Practice Address - Phone:586-806-4882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-17
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care