Individual
CARL SIMCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21800 HAGGERTY RD STE 115, NORTHVILLE, MI 48167-9051
(248) 735-1020
(248) 735-1010
Mailing address
21800 HAGGERTY RD STE 115, NORTHVILLE, MI 48167-9051
(248) 735-1020
(248) 735-1010
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38-3269038
PRIVATE DUTY
MI
Enumeration date
05/04/2020
Last updated
05/04/2020
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