Individual
CATRINA MIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17669 MCINTYRE ST, DETROIT, MI 48219-2369
(248) 274-4435
Mailing address
15900 W 10 MILE RD STE 211, SOUTHFIELD, MI 48075-2079
(248) 378-7145
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
04/25/2025
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