OrganizationActive
First Door, LLC
NPI 1750832564 · Custodial Care Facility · Southfield, MI
Provider details
- NPI number
- 1750832564
- Entity type
- Organization
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Authorized official
- Modeira Johnson, Owner/Ceo/President
- License
- AS630369663 (MI)
Practice location
25584 W 10 Mile Rd
Southfield, MI 48033-4826
Phone: (248) 877-8401
Fax: (313) 454-3102
Mailing address
25584 W 10 Mile Rd
Southfield, MI 48033-4826
Registry dates
- Enumerated
- 2016-10-17
- Last updated
- 2018-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.