Provider Demographics
NPI:1881380681
Name:ZUMEKO REHABILITATIVE SERVICES
Entity type:Organization
Organization Name:ZUMEKO REHABILITATIVE SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RICKY
Authorized Official - Middle Name:O
Authorized Official - Last Name:ENWERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-675-1734
Mailing Address - Street 1:4018 36TH ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT RAINIER
Mailing Address - State:MD
Mailing Address - Zip Code:20712-1912
Mailing Address - Country:US
Mailing Address - Phone:202-664-0026
Mailing Address - Fax:301-864-0341
Practice Address - Street 1:4018 36TH ST
Practice Address - Street 2:
Practice Address - City:MOUNT RAINIER
Practice Address - State:MD
Practice Address - Zip Code:20712-1912
Practice Address - Country:US
Practice Address - Phone:202-664-0026
Practice Address - Fax:301-864-0341
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ZUMEKO HOME HEALTH CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-14
Last Update Date:2024-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty