| Sankofa Healthcare Services | |
|
22690 Rougemont Dr Southfield MI 48033-5963 | |
| (313) 574-8579 | |
| Not Available |
| Full Name | Sankofa Healthcare Services |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 22690 Rougemont Dr, Southfield, Michigan |
| Authorized Official Name and Position | Bens Sandaire (CEO) |
| Authorized Official Contact | 3135748579 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sankofa Healthcare Services 22690 Rougemont Dr Southfield MI 48033-5963 Ph: (313) 574-8579 | Sankofa Healthcare Services 22690 Rougemont Dr Southfield MI 48033-5963 Ph: (313) 574-8579 |
| NPI Number | 1134449176 |
|---|---|
| Provider Enumeration Date | 06/01/2010 |
| Last Update Date | 07/29/2016 |
| Medicare PECOS PAC ID | 7214189471 |
|---|---|
| Medicare Enrollment ID | O20121214000405 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134449176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 5101011931 (Michigan) | Primary |
| Provider Name | Bens J Sandaire |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417156332 PECOS PAC ID: 2365344751 Enrollment ID: I20081111000132 |
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