Healthcare Provider Details
I. General information
NPI: 1588396451
Provider Name (Legal Business Name): FIC HOUSING
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/28/2022
Last Update Date: 06/28/2022
Certification Date: 06/28/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3450 LANCASTER DR
STERLING HEIGHTS MI
48310-4377
US
IV. Provider business mailing address
PO BOX 80225
ROCHESTER MI
48308-0225
US
V. Phone/Fax
- Phone: 248-710-3464
- Fax:
- Phone: 248-710-3464
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SUSAN
SAVAYA
Title or Position: CEO
Credential:
Phone: 586-405-4493