Provider Demographics
NPI:1134793888
Name:FRIENDLY HEALTH CARE
Entity type:Organization
Organization Name:FRIENDLY HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:SVETLANA
Authorized Official - Middle Name:
Authorized Official - Last Name:STUKOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-867-3125
Mailing Address - Street 1:1455 BUCKINGHAM WAY
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:CA
Mailing Address - Zip Code:94010-7363
Mailing Address - Country:US
Mailing Address - Phone:415-341-3499
Mailing Address - Fax:415-573-1833
Practice Address - Street 1:1477 GROVE ST STE 101
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117-1421
Practice Address - Country:US
Practice Address - Phone:415-341-3499
Practice Address - Fax:415-573-1833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-18
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health