Provider Demographics
NPI:1922445352
Name:FAMILY AND FRIENDS HOME HELP CARE
Entity Type:Organization
Organization Name:FAMILY AND FRIENDS HOME HELP CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-693-4847
Mailing Address - Street 1:PO BOX 3303
Mailing Address - Street 2:17712 SUNDERLAND DETROIT, MI 48219
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48333-3303
Mailing Address - Country:US
Mailing Address - Phone:313-693-4847
Mailing Address - Fax:
Practice Address - Street 1:17712 SUNDERLAND RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48219-4204
Practice Address - Country:US
Practice Address - Phone:313-693-4847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-24
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health