Healthcare Provider Details

I. General information

NPI: 1659608628
Provider Name (Legal Business Name): ZAHARAH'S HOUSE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2009
Last Update Date: 11/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7736 TEMPLE RD
PHILADELPHIA PA
19150-2220
US

IV. Provider business mailing address

7736 TEMPLE RD
PHILADELPHIA PA
19150-2220
US

V. Phone/Fax

Practice location:
  • Phone: 267-625-1951
  • Fax:
Mailing address:
  • Phone: 267-625-1951
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ZAKIYYAH WILLIAMS
Title or Position: CEO
Credential:
Phone: 267-625-1951