MEDICARE: ZION ROCK SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency
2	251E00000X	Home Health Agency	011890	TX

General Provider Information

NPI Number	:	1144417270
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZION ROCK SERVICES LLC

Provider Business Mailing Address
First Line	:	700 E PARK BLVD STE 102
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-8842
Country	:	US
Telephone Number	:	469-661-8170
Fax Number	:	469-661-8641

Provider Business Practice Location Address
First Line	:	700 E PARK BLVD STE 102
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-8842
Country	:	US
Telephone Number	:	469-661-8170
Fax Number	:	469-661-8641

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	ABIGAIL P. DEZOLLER
Credential	:
Telephone Number	:	469-661-8170

Provider Enumeration Date	:	10/03/2007
Last Update Date	:	11/29/2024

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