| Sims Davis Human Services Agency Inc | |
|
14531 Vaughan St Detroit MI 48223-2130 | |
| (313) 595-8900 | |
| Not Available |
| Full Name | Sims Davis Human Services Agency Inc |
|---|---|
| Speciality | Social Worker |
| Location | 14531 Vaughan St, Detroit, Michigan |
| Authorized Official Name and Position | Valerie Jean Sims (PRESIDENT) |
| Authorized Official Contact | 3135958900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sims Davis Human Services Agency Inc 14951 Glastonbury Ave Detroit MI 48223-3603 Ph: (313) 595-8900 | Sims Davis Human Services Agency Inc 14531 Vaughan St Detroit MI 48223-2130 Ph: (313) 595-8900 |
| NPI Number | 1609093111 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 07/17/2023 |
| Certification Date | 07/17/2023 |
| Medicare PECOS PAC ID | 9537265798 |
|---|---|
| Medicare Enrollment ID | O20070503000609 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609093111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801087304 (Michigan) | Primary |
| Provider Name | Valerie J Sims |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588712681 PECOS PAC ID: 5991801151 Enrollment ID: I20070503000605 |
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