SearchMichiganAdult Care Home Facility

Marcia Koza

NPI 1598445124 · on the registry since 2023 · sole proprietor

Practice

Address
12955 68th St Se
Alto, MI 49302
Phone
(616) 868-0001
Fax
(616) 868-0030
Organisation at this address
Sandy'S Country Afc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Adult Care Home Facility
311ZA0620X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-07-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan