Provider Demographics
NPI:1578828539
Name:FRIENDS OF THE MIDLANDS
Entity Type:Organization
Organization Name:FRIENDS OF THE MIDLANDS
Other - Org Name:HOMEWATCH CAREGIVERS OF COLUMBIA SC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:SUMMERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-736-5959
Mailing Address - Street 1:101 RICE BENT WAY
Mailing Address - Street 2:BUILDING 6
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-6849
Mailing Address - Country:US
Mailing Address - Phone:803-736-5959
Mailing Address - Fax:803-632-7110
Practice Address - Street 1:101 RICE BENT WAY
Practice Address - Street 2:BUILDING 6
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-6849
Practice Address - Country:US
Practice Address - Phone:803-736-5959
Practice Address - Fax:803-632-7110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-05
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care