Healthcare Provider Details

I. General information

NPI: 1710411673
Provider Name (Legal Business Name): ZION INTERNATIONAL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2017
Last Update Date: 04/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 PLEASANT VIEW DR
LANCASTER NY
14086-1368
US

IV. Provider business mailing address

326 PLEASANT VIEW DR
LANCASTER NY
14086-1368
US

V. Phone/Fax

Practice location:
  • Phone: 716-385-2231
  • Fax:
Mailing address:
  • Phone: 716-385-2231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNY

VIII. Authorized Official

Name: SOPHIA M MCDANIEL-FRANCIS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 716-385-2231