Provider Demographics
NPI:1609124056
Name:YOU'VE GOT A FRIEND, INC.
Entity Type:Organization
Organization Name:YOU'VE GOT A FRIEND, INC.
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:RUSSELL
Authorized Official - Last Name:MAHONEY
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:954-825-0155
Mailing Address - Street 1:901 S FEDERAL HWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316-1266
Mailing Address - Country:US
Mailing Address - Phone:954-825-0155
Mailing Address - Fax:954-825-0156
Practice Address - Street 1:901 S FEDERAL HWY
Practice Address - Street 2:SUITE 100
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-1266
Practice Address - Country:US
Practice Address - Phone:954-825-0155
Practice Address - Fax:954-825-0156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299993921253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care