Provider Demographics
NPI:1326889494
Name:ZANEESSENCE RESIDENTIAL, LLC
Entity type:Organization
Organization Name:ZANEESSENCE RESIDENTIAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOYCELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEMGANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-450-8932
Mailing Address - Street 1:325 DEVON DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21620-3366
Mailing Address - Country:US
Mailing Address - Phone:443-450-8932
Mailing Address - Fax:
Practice Address - Street 1:13935 LONGWOOD MANOR CT APT 304
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-2466
Practice Address - Country:US
Practice Address - Phone:443-450-8932
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-03
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No253Z00000XAgenciesIn Home Supportive Care