Provider Demographics
NPI:1487895207
Name:VALZAR, LLC
Entity type:Organization
Organization Name:VALZAR, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-597-1500
Mailing Address - Street 1:1191 CHESTNUT ST
Mailing Address - Street 2:SUITE #2-4
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02464-1351
Mailing Address - Country:US
Mailing Address - Phone:617-597-1500
Mailing Address - Fax:
Practice Address - Street 1:1191 CHESTNUT ST
Practice Address - Street 2:SUITE #2-4
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02464-1351
Practice Address - Country:US
Practice Address - Phone:617-597-1500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-09
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care