Provider Demographics
NPI:1780710848
Name:ZEELEX HOME HEALTHCARE STAFFING AGENCY
Entity type:Organization
Organization Name:ZEELEX HOME HEALTHCARE STAFFING AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:ISSA
Authorized Official - Last Name:KANU
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:703-997-1620
Mailing Address - Street 1:4810 BEAUREGARD ST
Mailing Address - Street 2:SUIT # 303
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22312-1709
Mailing Address - Country:US
Mailing Address - Phone:703-997-1620
Mailing Address - Fax:703-642-5751
Practice Address - Street 1:4810 BEAUREGARD ST
Practice Address - Street 2:SUIT # 303
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-1709
Practice Address - Country:US
Practice Address - Phone:703-997-1620
Practice Address - Fax:703-642-5751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-07390251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health