| Zakimi Holdings Llc | |
|
11585 Farmington Rd Livonia MI 48150-5729 | |
| (313) 558-9958 | |
| (313) 558-9941 |
| Full Name | Zakimi Holdings Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 11585 Farmington Rd, Livonia, Michigan |
| Authorized Official Name and Position | Vincent Darwiche (CEO) |
| Authorized Official Contact | 3136948661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zakimi Holdings Llc 11585 Farmington Rd Livonia MI 48150-5729 Ph: (313) 558-9958 | Zakimi Holdings Llc 11585 Farmington Rd Livonia MI 48150-5729 Ph: (313) 558-9958 |
| NPI Number | 1649057209 |
|---|---|
| Provider Enumeration Date | 09/08/2023 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/27/2023 |
| Medicare PECOS PAC ID | 6709329915 |
|---|---|
| Medicare Enrollment ID | O20240617001220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649057209 | NPI | - | NPPES |
| Provider Name | Stacey S Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801420708 PECOS PAC ID: 8921437328 Enrollment ID: I20200407000244 |
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