Healthcare Provider Details
I. General information
NPI: 1164758561
Provider Name (Legal Business Name): ZOILUS, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/20/2009
Last Update Date: 10/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
912 BELVOIR HILLS CIRCLE
CHATTANOOGA TN
37412
US
IV. Provider business mailing address
912 BELVOIR HILLS CIRCLE
CHATTANOOGA TN
37412
US
V. Phone/Fax
- Phone: 423-698-0108
- Fax: 423-698-0873
- Phone: 423-698-0108
- Fax: 423-698-0873
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
KALA
DAWN
DANIEL
Title or Position: PRESIDENT
Credential: LPN
Phone: 423-698-0108