Provider Demographics
NPI:1164663654
Name:A LOVING FRIEND, INC.
Entity Type:Organization
Organization Name:A LOVING FRIEND, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:F
Authorized Official - Last Name:SOCKOL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-622-8982
Mailing Address - Street 1:5722 S FLAMINGO RD
Mailing Address - Street 2:213
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33330-3206
Mailing Address - Country:US
Mailing Address - Phone:305-622-8982
Mailing Address - Fax:304-622-8982
Practice Address - Street 1:18850 NW 67TH PL
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-2462
Practice Address - Country:US
Practice Address - Phone:305-622-8982
Practice Address - Fax:305-622-8982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-13
Last Update Date:2009-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL230860253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care