Zion Development Corporation

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL026-815 Issued in NC

Legal business name

ZION DEVELOPMENT CORPORATION

Practice address

1419 Milton St
Spring Lake, NC 28390-2511

Phone

(910) 339-0902

NPI assigned

Feb 17, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Richard Davis III

Title

Ceo

Phone

(910) 797-8825

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1003055856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7779 PINTAIL DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283117405",
            "telephone_number": "910-630-2554",
            "fax_number": "910-630-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 MILTON ST",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283902511",
            "telephone_number": "910-339-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZION DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-797-8825",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL026-815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yoshiko Yamamoto, PSYCHOLOGIST
• Haiming Yang
• Emily Yarbrough
• Magi Youssef, D.D.S.
• Shamim Zarei, DDS

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Spring Lake, NC
• Providers in Spring Lake, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.