Provider Demographics
NPI:1457884942
Name:SPECIAL FRIEND COMPANIONS LLC
Entity Type:Organization
Organization Name:SPECIAL FRIEND COMPANIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:MILDRED
Authorized Official - Last Name:MEO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-992-4689
Mailing Address - Street 1:4334 SUNSET AVE
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19056-3368
Mailing Address - Country:US
Mailing Address - Phone:267-992-4689
Mailing Address - Fax:
Practice Address - Street 1:4334 SUNSET AVE
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19056-3368
Practice Address - Country:US
Practice Address - Phone:267-992-4689
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-11
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA27233601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health