Provider Demographics
NPI:1891935284
Name:FRIENDS & FAMILY
Entity Type:Organization
Organization Name:FRIENDS & FAMILY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-293-8090
Mailing Address - Street 1:11606 SOUTHFORK AVE
Mailing Address - Street 2:SUITE 501
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-5235
Mailing Address - Country:US
Mailing Address - Phone:225-293-8090
Mailing Address - Fax:225-293-8091
Practice Address - Street 1:11606 SOUTHFORK AVE
Practice Address - Street 2:SUITE 501
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-5235
Practice Address - Country:US
Practice Address - Phone:225-293-8090
Practice Address - Fax:225-293-8091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-25
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA385HR2060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1171298Medicaid
LA1162981Medicaid