Individual provider · Type 1 NPI
Marcia Lucille Koza
Adult Care Home Facility · Alto, MI
NPI number
1598445124
Active
Practice location
12955 68th St SE
Alto, MI 49302
Fax (616) 868-0030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | AM410416004 (MI) |
Adult Care Home Facility: 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.
Another provider at this address
About NPI 1598445124
Marcia Lucille Koza's National Provider Identifier is 1598445124, issued on Jul 19, 2023. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Alto, MI. The record was last updated on Jul 19, 2023.