Provider Demographics
NPI:1265027312
Name:FRIENDLY SUPPORT SERVICES LTD
Entity Type:Organization
Organization Name:FRIENDLY SUPPORT SERVICES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:A
Authorized Official - Last Name:BETTURA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-507-1187
Mailing Address - Street 1:4300 WESTFORD PL UNIT 20A
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-7017
Mailing Address - Country:US
Mailing Address - Phone:330-507-1187
Mailing Address - Fax:
Practice Address - Street 1:4300 WESTFORD PL UNIT 20A
Practice Address - Street 2:
Practice Address - City:CANFIELD
Practice Address - State:OH
Practice Address - Zip Code:44406-7017
Practice Address - Country:US
Practice Address - Phone:330-507-1187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-01
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services