Provider Demographics
NPI:1881356848
Name:MEKI, ZVISINEI
Entity type:Individual
Prefix:
First Name:ZVISINEI
Middle Name:
Last Name:MEKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4144 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23323-1600
Mailing Address - Country:US
Mailing Address - Phone:757-949-0950
Mailing Address - Fax:
Practice Address - Street 1:4144 LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23323-1600
Practice Address - Country:US
Practice Address - Phone:757-949-0950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-07
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251C00000X
VA3502251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services