Healthcare Provider Details

I. General information

NPI: 1821979485
Provider Name (Legal Business Name): ZAANAHIA AURIC VELOCITIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2025
Last Update Date: 09/10/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14700 TIREMAN ST APT 2
DETROIT MI
48228-2757
US

IV. Provider business mailing address

14700 TIREMAN ST APT 2
DETROIT MI
48228-2757
US

V. Phone/Fax

Practice location:
  • Phone: 313-439-0442
  • Fax:
Mailing address:
  • Phone: 313-439-0442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER L EVON
Title or Position: OWNER
Credential:
Phone: 313-439-0442