Healthcare Provider Details

I. General information

NPI: 1497338289
Provider Name (Legal Business Name): ZURI HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2021
Last Update Date: 04/30/2021
Certification Date: 04/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3290 WINCHESTER ESTATES CIR
LAKELAND FL
33810-4355
US

IV. Provider business mailing address

3290 WINCHESTER ESTATES CIR
LAKELAND FL
33810-4355
US

V. Phone/Fax

Practice location:
  • Phone: 863-660-8436
  • Fax:
Mailing address:
  • Phone: 863-660-8436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MRS. TIFFNEY ALLEN
Title or Position: OWNER
Credential:
Phone: 863-660-8436