Healthcare Provider Details

I. General information

NPI: 1376378539
Provider Name (Legal Business Name): ZAINUB ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2024
Last Update Date: 09/05/2024
Certification Date: 09/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 CHURCH RD STE 2D
MOUNT LAUREL NJ
08054-1133
US

IV. Provider business mailing address

3701 CHURCH RD STE 2D
MOUNT LAUREL NJ
08054-1133
US

V. Phone/Fax

Practice location:
  • Phone: 856-591-7189
  • Fax:
Mailing address:
  • Phone: 856-591-7189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: AHMED M SALAHUDDIN
Title or Position: OWNER
Credential:
Phone: 215-771-5729