Provider Demographics
NPI:1124577598
Name:A FRIEND BEING A FRIEND, INC
Entity Type:Organization
Organization Name:A FRIEND BEING A FRIEND, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:YEVETTE
Authorized Official - Last Name:JORDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-904-6500
Mailing Address - Street 1:5203 BEXAR STREET STE 1
Mailing Address - Street 2:5203 BEXAR STREET STE 1
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75215-4911
Mailing Address - Country:US
Mailing Address - Phone:972-904-6500
Mailing Address - Fax:469-567-3288
Practice Address - Street 1:5203 BEXAR STREET STE 1
Practice Address - Street 2:5203 BEXAR STREET STE 1
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75215-4911
Practice Address - Country:US
Practice Address - Phone:972-904-6500
Practice Address - Fax:469-567-3288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-27
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No253Z00000XAgenciesIn Home Supportive Care