Provider Demographics
NPI:1649589128
Name:A FRIEND IN NEED HOME HEALTH CARE
Entity Type:Organization
Organization Name:A FRIEND IN NEED HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-783-0002
Mailing Address - Street 1:1203 W. LEBANON STREET
Mailing Address - Street 2:SUITE 2
Mailing Address - City:MOUNT AIRY
Mailing Address - State:NC
Mailing Address - Zip Code:27030-2244
Mailing Address - Country:US
Mailing Address - Phone:336-783-0002
Mailing Address - Fax:336-783-0003
Practice Address - Street 1:1203 W LEBANON ST
Practice Address - Street 2:SUITE 2
Practice Address - City:MOUNT AIRY
Practice Address - State:NC
Practice Address - Zip Code:27030-2244
Practice Address - Country:US
Practice Address - Phone:336-783-0002
Practice Address - Fax:336-783-0003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty