Provider Demographics
NPI:1548876386
Name:THE ZETT FOUNDATION LNCORPORATED
Entity type:Organization
Organization Name:THE ZETT FOUNDATION LNCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:
Authorized Official - Last Name:BYDUME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-404-0473
Mailing Address - Street 1:1200 ALGONQUIN RD
Mailing Address - Street 2:
Mailing Address - City:CROWNSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21032-2100
Mailing Address - Country:US
Mailing Address - Phone:410-404-0473
Mailing Address - Fax:
Practice Address - Street 1:1610 GEORGE AVE
Practice Address - Street 2:
Practice Address - City:SEVERN
Practice Address - State:MD
Practice Address - Zip Code:21144-3206
Practice Address - Country:US
Practice Address - Phone:443-255-5361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-17
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health