Healthcare Provider Details

I. General information

NPI: 1528190097
Provider Name (Legal Business Name): ZAKWORKS, INC. CREATIVE COMMUNICATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2007
Last Update Date: 11/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3731 STATE HIGHWAY 14
SANTA FE NM
87508-8056
US

IV. Provider business mailing address

3731 STATE HIGHWAY 14
SANTA FE NM
87508-8056
US

V. Phone/Fax

Practice location:
  • Phone: 505-470-3422
  • Fax: 505-473-5795
Mailing address:
  • Phone: 505-470-3422
  • Fax: 150-521-4514

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. SUSAN DEAN HAMRE
Title or Position: DIRECTOR
Credential: MA, CCCSLP
Phone: 505-470-3422