Provider Demographics
NPI:1578780417
Name:FRIMAN HOME CARE AGENCY
Entity Type:Organization
Organization Name:FRIMAN HOME CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IMMACULATA
Authorized Official - Middle Name:OBIOMA
Authorized Official - Last Name:NWACHUKWU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:734-254-0092
Mailing Address - Street 1:42000 KOPPERNICK RD
Mailing Address - Street 2:SUITE A7
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-4282
Mailing Address - Country:US
Mailing Address - Phone:734-254-0092
Mailing Address - Fax:
Practice Address - Street 1:42000 KOPPERNICK RD
Practice Address - Street 2:SUITE A7
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-4282
Practice Address - Country:US
Practice Address - Phone:734-254-0092
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRIMAN HOME HEALTH SERVICES PLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-20
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI=========OtherTAX ID