Kathleen Mary Zorza
Individual provider Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Gwinn, MI
NPI 1962725564 · NPPES record last updated Mar 10, 2010
Key facts
- NPI
- 1962725564
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- License
- AF520239098 (MI)
- Practice address
- 440 S Peninsula LN
Gwinn, MI 49841-9213 - Phone
- (906) 346-6028
- NPI assigned
- Mar 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AF520239098 | MI | MD | Intellectual and/or Developmental Disabilities Residential Treatment Facility |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | AF520239098 | MI | Yes |
Addresses
Primary practice location
440 S Peninsula LN
Gwinn, MI 49841-9213
Mailing address
440 S Peninsula LN
Gwinn, MI 49841-9213
Phone (906) 346-6028
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AF520239098 | Other | MI | AFC ADULT CARE |
Other providers in Gwinn, MI
- Upper Great Lakes Family Health Center
- Upper Great Lakes Family Health Center
- Denise Marie Usher
- James Edward Vereb
- Wautier Wellness, Inc
All providers in Gwinn, MI · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.