OrganizationSoka ServicesSocial WorkerBehavioral Health & Social Service ProvidersPractice Address22511 Telegraph Rd, Suite 101, Southfield, MI 48033-4115(248) 356-0540PECOS EnrollmentBased on the most recent information from CMS, provider Soka Services does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:21 AM.Profile DetailsProvider ID1790795946Provider TypeOrganizationFull NameSoka ServicesSubpartNoEnumeration Date8/9/2006Last Updated10/1/2008Contact InformationPractice LocationPractice Address22511 Telegraph Rd, Suite 101, Southfield, MI 48033-4115Phone(248) 356-0540Fax(248) 356-0539Mailing LocationMailing AddressPO Box 250693, West Bloomfield, MI 48325-0693Phone(248) 356-0540Fax(248) 356-0539Authorized OfficialNameLee, Shalon Denise (President Ceo)Phone(248) 451-0540Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerMichiganProvider IdentifiersIDDescriptionIssuerID800F323610DescriptionOtherIssuerBLUE CROSS BLUE SHIELDIDDC6241DescriptionOtherIssuerMEDICARE RAILROAD