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NPI Code Detail

MEDICARE: ZACH ADULT FAMILY CARE HOME

MEDICARE: ZACH ADULT FAMILY CARE HOME
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1311ZA0620XAdult Care Home Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134735350
Entity Type Code : Organization
Provider Name (Legal Business Name) : ZACH ADULT FAMILY CARE HOME
Provider Business Mailing Address
First Line : 3220 LINDELL AVE
Second Line :
City : TAMPA
State : FL
Zip : 33610-7862
Country : US
Telephone Number : 813-732-2350
Fax Number :
Provider Business Practice Location Address
First Line : 3220 LINDELL AVE
Second Line :
City : TAMPA
State : FL
Zip : 33610-7862
Country : US
Telephone Number : 813-732-2350
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ZACHEE MERISIER
Credential :
Telephone Number : 813-732-2350
Provider Enumeration Date : 09/22/2020
Last Update Date : 09/06/2023

Similar Medicare Providers

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Directions to “ZACH ADULT FAMILY CARE HOME ” Practice Location

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