Provider Demographics
NPI:1699020040
Name:FRIEND OF A FRIEND, INC.
Entity Type:Organization
Organization Name:FRIEND OF A FRIEND, INC.
Other - Org Name:HOME CARE OF THE PALM BEACHES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORANCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-537-5712
Mailing Address - Street 1:5702 LAKE WORTH RD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-4522
Mailing Address - Country:US
Mailing Address - Phone:561-537-5712
Mailing Address - Fax:561-357-9359
Practice Address - Street 1:5702 LAKE WORTH RD
Practice Address - Street 2:SUITE 7
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-4522
Practice Address - Country:US
Practice Address - Phone:561-537-5712
Practice Address - Fax:561-357-9359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-20
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL227387253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care