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2190 Aurelius Rd Holt MI 48842-5540 | |
| (616) 881-1058 | |
| (616) 818-0260 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 2190 Aurelius Rd, Holt, Michigan |
| Authorized Official Name and Position | Kathleen Margaret Sapita (OWNER) |
| Authorized Official Contact | 6168811058 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2580 Sorority Ln Holt MI 48842-9427 Ph: (616) 881-1058 | 2190 Aurelius Rd Holt MI 48842-5540 Ph: (616) 881-1058 |
| NPI Number | 1003308503 |
|---|---|
| Provider Enumeration Date | 05/31/2018 |
| Last Update Date | 01/26/2024 |
| Certification Date | 01/26/2024 |
| Medicare PECOS PAC ID | 3274073283 |
|---|---|
| Medicare Enrollment ID | O20240905000828 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003308503 | NPI | - | NPPES |
| Provider Name | Sara Ziel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225570690 PECOS PAC ID: 1850620337 Enrollment ID: I20190909002303 |
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