Provider Demographics
NPI:1497397491
Name:FOREVER FRIENDSHIP ADULT DAY CENTER
Entity Type:Organization
Organization Name:FOREVER FRIENDSHIP ADULT DAY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MEKFIRA
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:HUSSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-307-9179
Mailing Address - Street 1:734 SNELLING AVE N
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-2384
Mailing Address - Country:US
Mailing Address - Phone:513-079-1796
Mailing Address - Fax:
Practice Address - Street 1:734 SNELLING AVE N
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-2384
Practice Address - Country:US
Practice Address - Phone:513-079-1796
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-10
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care