| Zenith Hope Center | |
|
508 Eastway Dr Charlotte NC 28205-1421 | |
| (704) 248-0246 | |
| Not Available |
| Full Name | Zenith Hope Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 508 Eastway Dr, Charlotte, North Carolina |
| Authorized Official Name and Position | Olowofoyeku Darnell Olowofoyeku (PRESIDENT) |
| Authorized Official Contact | 7042480246 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zenith Hope Center Po Box 690852 Mint Hill NC 28227-7015 Ph: (704) 248-0246 | Zenith Hope Center 508 Eastway Dr Charlotte NC 28205-1421 Ph: (704) 248-0246 |
| NPI Number | 1336693852 |
|---|---|
| Provider Enumeration Date | 08/12/2016 |
| Last Update Date | 07/14/2020 |
| Certification Date | 07/14/2020 |
| Medicare PECOS PAC ID | 2567883184 |
|---|---|
| Medicare Enrollment ID | O20200605001121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336693852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Bamisegun V Olowofoyeku |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669506861 PECOS PAC ID: 6406986660 Enrollment ID: I20100615000099 |
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