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Marcia Lucille Koza
Adult Care Home Facility in Alto, Michigan
NPI 1598445124

Marcia Lucille Koza is an Adult Care Home Facility based in Alto, MI and is specialized in Adult Care Home. Marcia Lucille Koza practices in Alto, MI. The NPI Number for Marcia Lucille Koza is 1598445124 and holds a License No. AM410416004 (Michigan).

The current practice location address for Marcia Lucille Koza is 12955 68Th St Se, Alto, MI and can be reached out via phone at 616-868-0001 and via fax at 616-868-0030.

Location: 12955 68Th St Se, Alto, MI, 49302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598445124
Provider Name
Marcia Lucille Koza
Credential
Provider Entity Type
Individual
Gender
Female
Address
12955 68Th St Se, Alto, MI, 49302
Phone Number
616-868-0001
Fax Number
616-868-0030
Provider Enumeration Date
07/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12955 68Th St Se
City
Alto
State
Michigan
Zip
49302
Phone Number
616-868-0001
Fax Number
616-868-0030
person
Provider Business Mailing Address Details
Address
12955 68Th St Se
City
Alto
State
Michigan
Zip
49302
Phone Number
616-868-0001
Fax Number
616-868-0030
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
AM410416004 (Michigan)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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