Healthcare Provider Details

I. General information

NPI: 1376130153
Provider Name (Legal Business Name): ZOLA HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2020
Last Update Date: 12/28/2020
Certification Date: 12/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 N LONG BEACH BLVD STE B
COMPTON CA
90221-2221
US

IV. Provider business mailing address

508 N LONG BEACH BLVD STE B
COMPTON CA
90221-2221
US

V. Phone/Fax

Practice location:
  • Phone: 562-400-9997
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ZITA AGAMEWA
Title or Position: OWNER
Credential:
Phone: 562-400-9997