Provider Demographics
NPI:1386974897
Name:ZENON LLC
Entity type:Organization
Organization Name:ZENON LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:ZENON
Authorized Official - Last Name:ANTONOWICZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:480-998-0668
Mailing Address - Street 1:14809 N 73RD ST
Mailing Address - Street 2:104
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-3104
Mailing Address - Country:US
Mailing Address - Phone:480-998-0668
Mailing Address - Fax:480-998-0975
Practice Address - Street 1:14809 N 73RD ST
Practice Address - Street 2:104
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-3104
Practice Address - Country:US
Practice Address - Phone:480-998-0668
Practice Address - Fax:480-998-0975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-05
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care