Provider Demographics
NPI:1356778815
Name:FRIENDS FOREVER
Entity type:Organization
Organization Name:FRIENDS FOREVER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:D
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-894-2564
Mailing Address - Street 1:209 WEATHER RD
Mailing Address - Street 2:
Mailing Address - City:RINGGOLD
Mailing Address - State:LA
Mailing Address - Zip Code:71068-2651
Mailing Address - Country:US
Mailing Address - Phone:318-894-2564
Mailing Address - Fax:
Practice Address - Street 1:209 WEATHER RD
Practice Address - Street 2:
Practice Address - City:RINGGOLD
Practice Address - State:LA
Practice Address - Zip Code:71068-2651
Practice Address - Country:US
Practice Address - Phone:318-894-2564
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-30
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care