Healthcare Provider Details

I. General information

NPI: 1497112478
Provider Name (Legal Business Name): FIRST CARE SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2016
Last Update Date: 01/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15301 TIREMAN AVE STE. A
DEARBORN MI
48126-1045
US

IV. Provider business mailing address

15301 TIREMAN AVE STE. A
DEARBORN MI
48126-1045
US

V. Phone/Fax

Practice location:
  • Phone: 313-590-9496
  • Fax: 313-769-5082
Mailing address:
  • Phone: 313-590-9496
  • Fax: 313-769-5082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. NADIA HAMADE
Title or Position: DIRECTOR
Credential: PA-C
Phone: 313-590-9496