| Annie Bell Chambers Multi-service Center | |
|
18400 E 9 Mile Rd Eastpointe MI 48021-1962 | |
| (586) 362-8122 | |
| (586) 362-8126 |
| Full Name | Annie Bell Chambers Multi-service Center |
|---|---|
| Speciality | Social Worker |
| Location | 18400 E 9 Mile Rd, Eastpointe, Michigan |
| Authorized Official Name and Position | Vanessa Ann Holsey (OWNER) |
| Authorized Official Contact | 5863628122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Annie Bell Chambers Multi-service Center 18400 E 9 Mile Rd Eastpointe MI 48021-1962 Ph: (586) 362-8122 | Annie Bell Chambers Multi-service Center 18400 E 9 Mile Rd Eastpointe MI 48021-1962 Ph: (586) 362-8122 |
| NPI Number | 1134782758 |
|---|---|
| Provider Enumeration Date | 04/18/2019 |
| Last Update Date | 03/07/2023 |
| Certification Date | 03/07/2023 |
| Medicare PECOS PAC ID | 2668706706 |
|---|---|
| Medicare Enrollment ID | O20190625000110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134782758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 3747A0650X | Technician - Attendant Care Provider | (* (Not Available)) | Secondary |
| Provider Name | Kiana Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639703101 PECOS PAC ID: 3577993120 Enrollment ID: I20200422000672 |
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