MEDICARE: ZOILA'S IN HOME PRIVATE CARE INC

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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1649991811
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZOILA'S IN HOME PRIVATE CARE INC

Provider Business Mailing Address
First Line	:	13102 CUANDO WAY
Second Line	:
City	:	DESERT HOT SPRINGS
State	:	CA
Zip	:	92240-6212
Country	:	US
Telephone Number	:	909-745-0223
Fax Number	:

Provider Business Practice Location Address
First Line	:	13102 CUANDO WAY
Second Line	:
City	:	DESERT HOT SPRINGS
State	:	CA
Zip	:	92240-6212
Country	:	US
Telephone Number	:	909-745-0223
Fax Number	:

Authorized Official
Title or Position	:	OWNER, PRESIDENT, CEO
Name	:	ZOILA VAZQUEZ
Credential	:
Telephone Number	:	909-745-0223

Provider Enumeration Date	:	09/07/2022
Last Update Date	:	09/08/2022

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