Provider Demographics
NPI:1841791159
Name:FIRST FAIR CARING SERVICES INC
Entity Type:Organization
Organization Name:FIRST FAIR CARING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEISHA
Authorized Official - Middle Name:V
Authorized Official - Last Name:FAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-557-0484
Mailing Address - Street 1:16000 W 9 MILE RD STE 420C
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-4839
Mailing Address - Country:US
Mailing Address - Phone:248-557-0484
Mailing Address - Fax:248-557-0485
Practice Address - Street 1:16000 W 9 MILE RD STE 420C
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4839
Practice Address - Country:US
Practice Address - Phone:248-557-0484
Practice Address - Fax:248-557-0485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-22
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251H1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHuman FactorsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIPENDINDMedicaid