Organization
Z LARUE ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ZINA L SPEIGHT (CEO/DIRECTOR)
(215) 747-5473
Entity
Organization
Contact information
Practice address
5825 COBBS CREEK PKWY, PHILADELPHIA, PA 19143-3035
(215) 747-5473
Mailing address
5825 COBBS CREEK PKWY, PHILADELPHIA, PA 19143-3035
(215) 747-5473
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332U00000X
Home Delivered Meals
—
—
347C00000X
Private Vehicle
—
PA
Other
Enumeration date
09/24/2014
Last updated
09/25/2014
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