| Royal Universal Adult Care | |
|
8459 Piedmont St Detroit MI 48228-3021 | |
| (323) 408-6003 | |
| Not Available |
| Full Name | Royal Universal Adult Care |
|---|---|
| Speciality | Social Worker |
| Location | 8459 Piedmont St, Detroit, Michigan |
| Authorized Official Name and Position | Sonja Britton (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3234086003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Royal Universal Adult Care 8459 Piedmont St Detroit MI 48228-3021 Ph: (323) 408-6003 | Royal Universal Adult Care 8459 Piedmont St Detroit MI 48228-3021 Ph: (323) 408-6003 |
| NPI Number | 1275135345 |
|---|---|
| Provider Enumeration Date | 11/12/2020 |
| Last Update Date | 11/12/2020 |
| Certification Date | 11/12/2020 |
| Medicare PECOS PAC ID | 8921411521 |
|---|---|
| Medicare Enrollment ID | O20201228001269 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275135345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Chlorine F Wimberly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598910986 PECOS PAC ID: 0840356465 Enrollment ID: I20090306000182 |
| Provider Name | Blaine G Burks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174632145 PECOS PAC ID: 1557463064 Enrollment ID: I20130417000143 |
| Provider Name | Rita Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780152975 PECOS PAC ID: 2567716889 Enrollment ID: I20181126001357 |
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