Individual ProviderZackary Hajj-AliCounselorBehavioral Health & Social Service ProvidersPractice Address1801 American Blvd E, Bloomington, MN 55425-1232(952) 767-2267(763) 647-9077PECOS EnrollmentBased on the most recent information from CMS, provider Zackary Hajj-Ali is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1609554179Provider TypeIndividualFull NameHajj-Ali, ZackaryGenderMaleSole ProprietorNoEnumeration Date7/6/2023Last Updated7/6/2023Contact InformationPractice LocationPractice Address1801 American Blvd E, Bloomington, MN 55425-1232Phone(952) 767-2267FaxUnlisted FaxMailing LocationMailing Address52 Territorial Rd NE, Blaine, MN 55434-1537Phone(763) 647-9077FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer