FAIRUZA ZAN TRUST

OLIVE BRANCH, MS
NPI1508449372
Entity TypeOrganization
Authorized ContactIRIS GRAY
CEO
901-870-1246
Organization Subpart ?No
Primary Taxonomy252Y00000X Early Intervention Provider Agency
Additional Taxonomies225X00000X Occupational Therapist
Enumeration Date2021-04-29
Last Update Date2023-09-08
Business Address
FAIRUZA ZAN TRUST
6569 HIGHWAY 305 N
OLIVE BRANCH, MS 38654-3044
Phone number: 901-870-1246
Mailing Address
FAIRUZA ZAN TRUST
6569 HIGHWAY 305 N
OLIVE BRANCH, MS 38654-3044
Phone number: 901-870-1246