Individual provider · Type 1 NPI
Catrina Mims
Adult Care Home Facility · Detroit, MI
NPI number
1417721879
Active
Practice location
17669 Mcintyre St
Detroit, MI 48219-2369
Mailing address
15900 W 10 Mile Rd Ste 211
Southfield, MI 48075-2079
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | None listed |
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
3 other providers at this address
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About NPI 1417721879
Catrina Mims's National Provider Identifier is 1417721879, issued on Nov 7, 2023. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Detroit, MI. The record was last updated on Apr 25, 2025.