Provider Demographics
NPI:1346662855
Name:CARING FRIENDS AND COMPANIONS GROUP HOME, INC
Entity Type:Organization
Organization Name:CARING FRIENDS AND COMPANIONS GROUP HOME, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARALYN
Authorized Official - Middle Name:B
Authorized Official - Last Name:HARRIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-800-5110
Mailing Address - Street 1:2435 MLK ST S
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33705-3542
Mailing Address - Country:US
Mailing Address - Phone:727-800-5110
Mailing Address - Fax:727-289-2643
Practice Address - Street 1:2435 MLK ST S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-3542
Practice Address - Country:US
Practice Address - Phone:727-800-5110
Practice Address - Fax:727-289-2643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-17
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care