Provider Demographics
NPI:1366676082
Name:FIRST STATE HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:FIRST STATE HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WENGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-771-2100
Mailing Address - Street 1:4798 WENMAR DR
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48604-2843
Mailing Address - Country:US
Mailing Address - Phone:989-771-2100
Mailing Address - Fax:989-771-9750
Practice Address - Street 1:4798 WENMAR DR
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-2843
Practice Address - Country:US
Practice Address - Phone:989-771-2100
Practice Address - Fax:989-771-9750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-09
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI02532K251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health