Provider Demographics
NPI:1528190097
Name:ZAKWORKS, INC. CREATIVE COMMUNICATION
Entity Type:Organization
Organization Name:ZAKWORKS, INC. CREATIVE COMMUNICATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:HAMRE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCCSLP
Authorized Official - Phone:505-470-3422
Mailing Address - Street 1:3731 STATE HIGHWAY 14
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87508-8056
Mailing Address - Country:US
Mailing Address - Phone:505-470-3422
Mailing Address - Fax:150-521-4514
Practice Address - Street 1:3731 STATE HIGHWAY 14
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87508-8056
Practice Address - Country:US
Practice Address - Phone:505-470-3422
Practice Address - Fax:505-473-5795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-11
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services