Provider Demographics
NPI:1407992910
Name:FAMILY FRIENDLY CARE,INC.
Entity Type:Organization
Organization Name:FAMILY FRIENDLY CARE,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:CHIDOZIE
Authorized Official - Last Name:EZEAPUTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-337-8777
Mailing Address - Street 1:1045 TAYLOR AVE STE 211
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21286-8331
Mailing Address - Country:US
Mailing Address - Phone:410-337-8777
Mailing Address - Fax:410-337-9466
Practice Address - Street 1:1045 TAYLOR AVE STE 211
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21286-8331
Practice Address - Country:US
Practice Address - Phone:410-337-8777
Practice Address - Fax:410-337-9466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD10920452251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health