Joel Simmons
In Home Supportive Care in Highland Park, MI. Individual provider (NPI-1).
NPI number1972175503
StatusActive
Last updated in NPPESJul 13, 2021
Details
- NPI
- 1972175503
- Entity type
- Individual (NPI-1)
- Name
- Joel Simmons
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 13, 2021
- Certification date
- Jul 13, 2021
- Last updated
- Jul 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
74 Moss StHighland Park, MI 48203-3709
Phone 313-854-3536
Mailing address
74 Moss StHighland Park, MI 48203-3709
Phone 313-854-3536
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