| Npac Health Services Llc | |
|
31705 Plymouth Rd Livonia MI 48150-1905 | |
| (734) 744-9544 | |
| (734) 744-9523 |
| Full Name | Npac Health Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 31705 Plymouth Rd, Livonia, Michigan |
| Authorized Official Name and Position | Darcelle Carson (CEO, OWNER) |
| Authorized Official Contact | 7347449544 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Npac Health Services Llc 31705 Plymouth Rd Livonia MI 48150-1905 Ph: (347) 744-9544 | Npac Health Services Llc 31705 Plymouth Rd Livonia MI 48150-1905 Ph: (734) 744-9544 |
| NPI Number | 1164855474 |
|---|---|
| Provider Enumeration Date | 08/11/2013 |
| Last Update Date | 08/13/2021 |
| Medicare PECOS PAC ID | 4183984925 |
|---|---|
| Medicare Enrollment ID | O20180215002772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164855474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Darcelle M Carson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164677035 PECOS PAC ID: 4789734740 Enrollment ID: I20090612000198 |
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