# SIM SOULS GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083310866
- **Authorized official:** ANSAR KHAN CFA (DIRECTOR)
- **Authorized official phone:** (919) 308-9614

## Contact information

- **Practice address:** 4087 GUADALUPE LN, FRISCO, TX 75034-8483
- **Practice address phone:** (972) 372-9724
- **Mailing address:** 4087 GUADALUPE LN, FRISCO, TX 75034-8483
- **Mailing address phone:** (972) 372-9724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2050X | Respite Care Camp | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 02/03/2023
- **Last updated:** 02/03/2023