Healthcare Provider Details

I. General information

NPI: 1255115549
Provider Name (Legal Business Name): ZENOBIA HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2023
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 KENSINGTON LAKE CIR
BRANDON FL
33511-3874
US

IV. Provider business mailing address

609 KENSINGTON LAKE CIR
BRANDON FL
33511-3874
US

V. Phone/Fax

Practice location:
  • Phone: 307-399-7330
  • Fax:
Mailing address:
  • Phone: 307-399-7330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: ERIC KELECHI NZEOCHA
Title or Position: PRESIDENT
Credential:
Phone: 307-399-7330