Provider Demographics
NPI:1487390704
Name:BNZ HEALTHCARE AND TRAINING CENTER LLC
Entity type:Organization
Organization Name:BNZ HEALTHCARE AND TRAINING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRAVICIA
Authorized Official - Middle Name:LASHANDRA
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-814-1277
Mailing Address - Street 1:1180 FRANKLIN GTWY SE STE 202
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-8900
Mailing Address - Country:US
Mailing Address - Phone:504-814-1277
Mailing Address - Fax:
Practice Address - Street 1:1180 FRANKLIN GTWY SE STE 202
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-8900
Practice Address - Country:US
Practice Address - Phone:504-814-1277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-10
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physicianGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
No291U00000XLaboratoriesClinical Medical Laboratory
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty