Provider Demographics
NPI:1093254112
Name:FIRMIN MULTI SERVICE AGENT, LLC
Entity Type:Organization
Organization Name:FIRMIN MULTI SERVICE AGENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:FIRMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-406-9562
Mailing Address - Street 1:20 WASHBURN ST
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-1409
Mailing Address - Country:US
Mailing Address - Phone:774-406-9562
Mailing Address - Fax:
Practice Address - Street 1:20 WASHBURN ST
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-1409
Practice Address - Country:US
Practice Address - Phone:774-406-9562
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-22
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health