Healthcare Provider Details

I. General information

NPI: 1629854062
Provider Name (Legal Business Name): ZOA HEALTHCARE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2023
Last Update Date: 09/06/2023
Certification Date: 09/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3405 DULUTH PARK LN # A
DULUTH GA
30096-3287
US

IV. Provider business mailing address

3405 DULUTH PARK LN # A
DULUTH GA
30096-3287
US

V. Phone/Fax

Practice location:
  • Phone: 678-819-7055
  • Fax:
Mailing address:
  • Phone: 678-819-7055
  • 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: MRS. SUNHEE KIM
Title or Position: ADMINISTRATOR
Credential:
Phone: 678-819-7055