Basic Information
| Provider Information | |||||||||
| NPI: | 1679071070 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ZUHA HOMES, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6133 JADEITE AVE | ||||||||
| Address2: | |||||||||
| City: | RANCHO CUCAMONGA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917373660 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9099193497 | ||||||||
| FaxNumber: | 9092449414 | ||||||||
| Practice Location | |||||||||
| Address1: | 2758 SAN DIMAS CANYON RD | ||||||||
| Address2: | |||||||||
| City: | LA VERNE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917504757 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9093949777 | ||||||||
| FaxNumber: | 9095064446 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/31/2018 | ||||||||
| LastUpdateDate: | 01/31/2018 | ||||||||
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| AuthorizedOfficialLastName: | UMAR | ||||||||
| AuthorizedOfficialFirstName: | AHMAD | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO/PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9099193497 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 315P00000X | 960000689 | CA | Y | Nursing & Custodial Care Facilities | Intermediate Care Facility, Mentally Retarded |
No ID Information.