Healthcare Provider Details

I. General information

NPI: 1649991811
Provider Name (Legal Business Name): ZOILA'S IN HOME PRIVATE CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2022
Last Update Date: 09/08/2022
Certification Date: 09/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13102 CUANDO WAY
DESERT HOT SPRINGS CA
92240-6212
US

IV. Provider business mailing address

13102 CUANDO WAY
DESERT HOT SPRINGS CA
92240-6212
US

V. Phone/Fax

Practice location:
  • Phone: 909-745-0223
  • Fax:
Mailing address:
  • Phone: 909-745-0223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ZOILA VAZQUEZ
Title or Position: OWNER, PRESIDENT, CEO
Credential:
Phone: 909-745-0223