Healthcare Provider Details

I. General information

NPI: 1104876689
Provider Name (Legal Business Name): TEACHING FAMILY HOMES OF UPPER MICHIGAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 SILVER CREEK RD
MARQUETTE MI
49855-8948
US

IV. Provider business mailing address

1000 SILVER CREEK RD
MARQUETTE MI
49855-8948
US

V. Phone/Fax

Practice location:
  • Phone: 906-249-5437
  • Fax: 906-249-5438
Mailing address:
  • Phone: 906-249-5437
  • Fax: 906-249-5438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DANA KOZIARA-PLUTCHAK
Title or Position: CEO
Credential: LLMSW
Phone: 906-249-5437