Provider Demographics
NPI:1376890038
Name:SENIOR FRIENDSHIP CENTERS, INC.
Entity Type:Organization
Organization Name:SENIOR FRIENDSHIP CENTERS, INC.
Other - Org Name:SENIOR FRIENDSHIP CENTERS OF LEE COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-955-2122
Mailing Address - Street 1:5272 SUMMERLIN COMMONS WAY
Mailing Address - Street 2:SUITE 604
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-2156
Mailing Address - Country:US
Mailing Address - Phone:239-275-1881
Mailing Address - Fax:
Practice Address - Street 1:5272 SUMMERLIN COMMONS WAY
Practice Address - Street 2:SUITE 601
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-2156
Practice Address - Country:US
Practice Address - Phone:239-275-1881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-12
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management