Provider Demographics
NPI:1093437006
Name:FRIENDLYCARE LLC
Entity Type:Organization
Organization Name:FRIENDLYCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PACATANG
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:646-220-1251
Mailing Address - Street 1:4714 FALDO CIR NE
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24019-5863
Mailing Address - Country:US
Mailing Address - Phone:646-220-1251
Mailing Address - Fax:
Practice Address - Street 1:4714 FALDO CIR NE
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24019-5863
Practice Address - Country:US
Practice Address - Phone:646-220-1251
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-15
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No251J00000XAgenciesNursing Care