Provider Demographics
NPI:1134906043
Name:FRIENDSHIP CARE FIRST LLC
Entity type:Organization
Organization Name:FRIENDSHIP CARE FIRST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ONEIL
Authorized Official - Middle Name:DOBGIMA
Authorized Official - Last Name:GALEGA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN
Authorized Official - Phone:301-502-9706
Mailing Address - Street 1:8476 MAGIC TREE CT
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22153-3811
Mailing Address - Country:US
Mailing Address - Phone:301-502-9706
Mailing Address - Fax:703-646-4113
Practice Address - Street 1:8476 MAGIC TREE CT
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22153-3811
Practice Address - Country:US
Practice Address - Phone:301-502-9706
Practice Address - Fax:703-646-4113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No253Z00000XAgenciesIn Home Supportive Care