Provider Demographics
NPI:1508419094
Name:UZIMA LIFESTYLE CENTER AND INFORMATION SERVICES INC
Entity Type:Organization
Organization Name:UZIMA LIFESTYLE CENTER AND INFORMATION SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:EMANUEL MCLEAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:269-775-1133
Mailing Address - Street 1:4601 WINDING WAY
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49006-1040
Mailing Address - Country:US
Mailing Address - Phone:269-775-1133
Mailing Address - Fax:269-775-1133
Practice Address - Street 1:4601 WINDING WAY
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49006-1040
Practice Address - Country:US
Practice Address - Phone:269-775-1133
Practice Address - Fax:269-775-1133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-23
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health