MEDICARE: MS. PAULA SIMMONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	374U00000X	Home Health Aide
2	376J00000X	Homemaker
3	372500000X	Chore Provider

General Provider Information

NPI Number	:	1699505875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PAULA SIMMONS

Provider Business Mailing Address
First Line	:	29950 SUMMIT DR APT 203
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48334-2417
Country	:	US
Telephone Number	:	248-818-9300
Fax Number	:

Provider Business Practice Location Address
First Line	:	29950 SUMMIT DR APT 203
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48334-2417
Country	:	US
Telephone Number	:	248-818-9300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2024
Last Update Date	:	10/05/2024

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Directions to “ MS. PAULA SIMMONS ” Practice Location

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