Organization
SIM SOULS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANSAR KHAN CFA (DIRECTOR)
(919) 308-9614
Entity
Organization
Contact information
Practice address
4087 GUADALUPE LN, FRISCO, TX 75034-8483
(972) 372-9724
Mailing address
4087 GUADALUPE LN, FRISCO, TX 75034-8483
(972) 372-9724
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
385HR2050X
Respite Care Camp
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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