Provider Demographics
NPI:1174416077
Name:ZELEDON'S ROOM & BOARD
Entity type:Organization
Organization Name:ZELEDON'S ROOM & BOARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOUSE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:ZELEDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-826-4917
Mailing Address - Street 1:145 JANICE ST
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94589-2052
Mailing Address - Country:US
Mailing Address - Phone:925-826-4917
Mailing Address - Fax:
Practice Address - Street 1:145 JANICE ST
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94589-2052
Practice Address - Country:US
Practice Address - Phone:925-826-4917
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes177F00000XOther Service ProvidersLodging
No174200000XOther Service ProvidersMeals
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care