Provider Demographics
NPI:1609243831
Name:FRIENDS OF THE FAMILY HOME HEALTH CARE MONROE LLC
Entity Type:Organization
Organization Name:FRIENDS OF THE FAMILY HOME HEALTH CARE MONROE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBEKAH
Authorized Official - Middle Name:E
Authorized Official - Last Name:LAFONTAINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-674-7179
Mailing Address - Street 1:1623 W STERNS RD
Mailing Address - Street 2:
Mailing Address - City:TEMPERANCE
Mailing Address - State:MI
Mailing Address - Zip Code:48182-1597
Mailing Address - Country:US
Mailing Address - Phone:734-586-0770
Mailing Address - Fax:734-568-6037
Practice Address - Street 1:8257 MAYBERRY SQ S
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-9458
Practice Address - Country:US
Practice Address - Phone:567-455-5200
Practice Address - Fax:419-865-0495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-24
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health