Provider Demographics
NPI:1588396451
Name:FIC HOUSING
Entity type:Organization
Organization Name:FIC HOUSING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAVAYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-405-4493
Mailing Address - Street 1:PO BOX 80225
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48308-0225
Mailing Address - Country:US
Mailing Address - Phone:248-710-3464
Mailing Address - Fax:
Practice Address - Street 1:3450 LANCASTER DR
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-4377
Practice Address - Country:US
Practice Address - Phone:248-710-3464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health