Provider Demographics
NPI:1790987006
Name:FRIENDLY SERVICES LLC
Entity Type:Organization
Organization Name:FRIENDLY SERVICES LLC
Other - Org Name:PARAMOUNT ADHC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:CAESAR
Authorized Official - Last Name:AGUILAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-630-7100
Mailing Address - Street 1:15340 PARAMOUNT BLVD
Mailing Address - Street 2:
Mailing Address - City:PARAMOUNT
Mailing Address - State:CA
Mailing Address - Zip Code:90723-4360
Mailing Address - Country:US
Mailing Address - Phone:562-630-7100
Mailing Address - Fax:562-630-7444
Practice Address - Street 1:15340 PARAMOUNT BLVD
Practice Address - Street 2:
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-4360
Practice Address - Country:US
Practice Address - Phone:562-630-7100
Practice Address - Fax:562-630-7444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care