Provider Demographics
NPI:1790046316
Name:FRIENDS OF THE DISABLED
Entity Type:Organization
Organization Name:FRIENDS OF THE DISABLED
Other - Org Name:FRIENDS OF THE DISABLED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:QUIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRYOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-507-2391
Mailing Address - Street 1:5010 RIVERSTONE CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4814
Mailing Address - Country:US
Mailing Address - Phone:281-507-2391
Mailing Address - Fax:
Practice Address - Street 1:3106 GREAT LAKES AVE
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2002
Practice Address - Country:US
Practice Address - Phone:281-507-2391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-30
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home