Provider Demographics
NPI:1134238306
Name:GOOD FRIENDS SERVICES, INC.
Entity type:Organization
Organization Name:GOOD FRIENDS SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:IGNACIO
Authorized Official - Middle Name:
Authorized Official - Last Name:CAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-522-2346
Mailing Address - Street 1:9500 NW 77TH AVE
Mailing Address - Street 2:SUITE 28
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33016-2530
Mailing Address - Country:US
Mailing Address - Phone:786-522-2346
Mailing Address - Fax:786-522-2347
Practice Address - Street 1:9500 NW 77TH AVE
Practice Address - Street 2:SUITE 28
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33016-2530
Practice Address - Country:US
Practice Address - Phone:786-522-2346
Practice Address - Fax:786-522-2347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health