Individual
ZORANA KOSTOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4466 FULCHER RD, HEPHZIBAH, GA 30815-5579
(706) 386-1524
(706) 432-3780
Mailing address
3421 MIKE PADGETT HWY, AUGUSTA, GA 30906-3815
(706) 432-7893
(706) 432-3780
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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