Healthcare Provider Details

I. General information

NPI: 1235008392
Provider Name (Legal Business Name): ZYLA FAMILY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2025
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 SYCAMORE ST
LOWELL MA
01852-3718
US

IV. Provider business mailing address

14 SYCAMORE ST
LOWELL MA
01852-3718
US

V. Phone/Fax

Practice location:
  • Phone: 978-815-9620
  • Fax:
Mailing address:
  • Phone: 978-815-9620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: WEDNESDAY ZYLA
Title or Position: OWNER
Credential:
Phone: 978-815-9620