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General NPI Number Information
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NPI Number | 1235921388
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Entity Type | Organization
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Legal Business Name | ZIENNAS HOME CARE ASSISTED LIVING LLC
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Dates
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Enumeration Date | 05/22/2025
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 11510 E UTOPIA AVE
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City | MESA
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State | AZ
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Zip | 85212-6613
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Country | US
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Telephone | 480-242-7398
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Fax |
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Provider Business Mailing Address
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Address Line | 1171 S SEAN DR
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City | CHANDLER
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State | AZ
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Zip | 85286-6446
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Country | US
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Telephone | 480-242-7398
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. ZIENNA ONA ENDICOTT
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Credential |
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Telephone | 480-242-7398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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