Provider Demographics
NPI:1649646696
Name:FRIENDS WHO CARE
Entity type:Organization
Organization Name:FRIENDS WHO CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIELD NURSE RN
Authorized Official - Prefix:MS
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:HAHN
Authorized Official - Last Name:EZDEBSKI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:231-843-7959
Mailing Address - Street 1:318 RIVER ST STE B
Mailing Address - Street 2:
Mailing Address - City:MANISTEE
Mailing Address - State:MI
Mailing Address - Zip Code:49660-2742
Mailing Address - Country:US
Mailing Address - Phone:231-723-4181
Mailing Address - Fax:231-723-7780
Practice Address - Street 1:318 RIVER ST STE B
Practice Address - Street 2:
Practice Address - City:MANISTEE
Practice Address - State:MI
Practice Address - Zip Code:49660-2742
Practice Address - Country:US
Practice Address - Phone:231-723-4181
Practice Address - Fax:231-723-7780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-13
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care