Organization
ZION LLC
Active
Other names
ZION HEALTH CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VALLANTINE EBOT ATEM (ADMINISTRATOR)
(612) 481-6005
Entity
Organization
Contact information
Practice address
2403 STEWART AVE, SAINT PAUL, MN 55116-3036
(612) 481-6001
(651) 698-9466
Mailing address
2403 STEWART AVE, SAINT PAUL, MN 55116-3036
(612) 481-6005
(651) 698-9466
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R183439-8
MN
251J00000X
Nursing Care Agency
L061734-1
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
263982000
MDHS(DHS)
MN
Enumeration date
07/30/2008
Last updated
07/30/2008
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