=====================================================
General NPI Number Information
=====================================================
NPI Number | 1003119637
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ZIAD SOWWAN AND SONS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/21/2010
-----------------------------------------------------
Last Update Date | 12/21/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3582 FAYETTEVILLE RD
-----------------------------------------------------
City | LUMBERTON
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28358-2710
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 910-527-3071
-----------------------------------------------------
Fax | 910-843-8494
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3582 FAYETTEVILLE RD
-----------------------------------------------------
City | LUMBERTON
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28358-2710
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 910-527-3071
-----------------------------------------------------
Fax | 910-843-8494
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | AHMAD SOWWAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 910-527-3071
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 74313414
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------