# MOKA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992195630
- **Authorized official:** MR. THOMAS ZMOLEK (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (231) 830-9376

## Contact information

- **Practice address:** 5281 CLYDE PARK AVE SW, SUITE 2, WYOMING, MI 49509-9506
- **Practice address phone:** (616) 719-4263
- **Practice address fax:** (616) 719-4267
- **Mailing address:** 5281 CLYDE PARK AVE SW, SUITE 2, WYOMING, MI 49509-9506
- **Mailing address phone:** (616) 719-4263
- **Mailing address fax:** (616) 719-4267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 6802066082 | MI | Yes |

## Other

- **Enumeration date:** 02/03/2015
- **Last updated:** 02/03/2015