Provider Demographics
NPI:1447978630
Name:ZIREGBE, ALBERTA A
Entity type:Individual
Prefix:
First Name:ALBERTA
Middle Name:A
Last Name:ZIREGBE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 343
Mailing Address - Street 2:
Mailing Address - City:SOUTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02375-0343
Mailing Address - Country:US
Mailing Address - Phone:682-307-3029
Mailing Address - Fax:
Practice Address - Street 1:41 FOUNDRY ST
Practice Address - Street 2:
Practice Address - City:SOUTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02375-1723
Practice Address - Country:US
Practice Address - Phone:682-307-3029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility