Provider Demographics
NPI:1902496193
Name:ZION CLASSIQUE CARE & HUMAN SERVICES LLC
Entity Type:Organization
Organization Name:ZION CLASSIQUE CARE & HUMAN SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:DUDUYEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:SAGAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-603-5168
Mailing Address - Street 1:4333 E OAKLAND ST
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-6122
Mailing Address - Country:US
Mailing Address - Phone:347-603-5168
Mailing Address - Fax:
Practice Address - Street 1:4333 E OAKLAND ST
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-6122
Practice Address - Country:US
Practice Address - Phone:347-603-5168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-21
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health