Provider Demographics
NPI:1962837708
Name:SENIOR FRIENDSHIP CENTERS
Entity Type:Organization
Organization Name:SENIOR FRIENDSHIP CENTERS
Other - Org Name:ADULT DAY SERVICES-VENICE
Other - Org Type:Other Name
Authorized Official - Title/Position:ADULT DAY SERVICES MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MEG ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-584-0044
Mailing Address - Street 1:2350 SCENIC DR
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34293-1510
Mailing Address - Country:US
Mailing Address - Phone:941-584-0030
Mailing Address - Fax:941-497-7195
Practice Address - Street 1:2350 SCENIC DR
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34293-1510
Practice Address - Country:US
Practice Address - Phone:941-584-0044
Practice Address - Fax:941-584-0108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-12
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL305261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care