Provider Demographics
NPI:1598197246
Name:FRIENDSHIP HEALTH & REHAB, LLC
Entity Type:Organization
Organization Name:FRIENDSHIP HEALTH & REHAB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:BADGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-489-0555
Mailing Address - Street 1:7400 LAGRANGE ROAD
Mailing Address - Street 2:
Mailing Address - City:PEEWEE VALLEY
Mailing Address - State:KY
Mailing Address - Zip Code:40056-9091
Mailing Address - Country:US
Mailing Address - Phone:502-241-8821
Mailing Address - Fax:
Practice Address - Street 1:7400 LAGRANGE ROAD
Practice Address - Street 2:
Practice Address - City:PEEWEE VALLEY
Practice Address - State:KY
Practice Address - Zip Code:40056
Practice Address - Country:US
Practice Address - Phone:502-241-8821
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-05
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility