Healthcare Provider Details

I. General information

NPI: 1518108976
Provider Name (Legal Business Name): FACT GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2009
Last Update Date: 05/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25958 W 6 MILE RD
REDFORD MI
48240-2213
US

IV. Provider business mailing address

25958 W 6 MILE RD
REDFORD MI
48240-2213
US

V. Phone/Fax

Practice location:
  • Phone: 313-286-3360
  • Fax: 313-286-3363
Mailing address:
  • Phone: 313-286-3360
  • Fax: 313-286-3363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FARAH HALAWI
Title or Position: PRESIDENT
Credential:
Phone: 313-477-0500