Healthcare Provider Details

I. General information

NPI: 1104545532
Provider Name (Legal Business Name): ZAZE CATERING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2022
Last Update Date: 08/29/2022
Certification Date: 08/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1821 SUMMIT RD STE 104
CINCINNATI OH
45237-2818
US

IV. Provider business mailing address

1821 SUMMIT RD STE 104
CINCINNATI OH
45237-2818
US

V. Phone/Fax

Practice location:
  • Phone: 702-209-6708
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: ISAIAH THOMAS
Title or Position: CEO
Credential:
Phone: 702-209-6708