Organization
HOUSE OF ZION LLC,
Active
Other names
House of Zion LLC,
Organization subpart
No
Provider details
NPI number
Authorized official
MEEKO LATRASE DAVIS (CEO)
(463) 224-5472
Entity
Organization
Contact information
Practice address
1524 PARK VISTA CT, INDIANAPOLIS, IN 46229-4120
(463) 224-5472
Mailing address
1524 PARK VISTA CT, INDIANAPOLIS, IN 46229-4120
(463) 224-5472
(317) 947-7289
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
07/23/2021
Last updated
08/18/2024
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