Provider Demographics
NPI:1043974009
Name:A CARING FRIEND OF MANASOTA INC.
Entity Type:Organization
Organization Name:A CARING FRIEND OF MANASOTA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFEREY
Authorized Official - Middle Name:OLDY
Authorized Official - Last Name:DUCASSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:475-273-5769
Mailing Address - Street 1:5891 VENISOTA RD
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34293-6829
Mailing Address - Country:US
Mailing Address - Phone:475-273-5769
Mailing Address - Fax:
Practice Address - Street 1:5891 VENISOTA RD
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34293-6829
Practice Address - Country:US
Practice Address - Phone:475-273-5769
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-26
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care