Healthcare Provider Details

I. General information

NPI: 1508419094
Provider Name (Legal Business Name): UZIMA LIFESTYLE CENTER AND INFORMATION SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2019
Last Update Date: 07/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4601 WINDING WAY
KALAMAZOO MI
49006-1040
US

IV. Provider business mailing address

4601 WINDING WAY
KALAMAZOO MI
49006-1040
US

V. Phone/Fax

Practice location:
  • Phone: 269-775-1133
  • Fax: 269-775-1133
Mailing address:
  • Phone: 269-775-1133
  • Fax: 269-775-1133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JANICE EMANUEL MCLEAN
Title or Position: DIRECTOR
Credential: PH.D
Phone: 269-775-1133