Provider Demographics
NPI:1669402350
Name:FRIENDLY HEALTHCARE SERVICES, LLC
Entity type:Organization
Organization Name:FRIENDLY HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:A ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SYLVESTER
Authorized Official - Middle Name:C
Authorized Official - Last Name:AKUNNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-341-0741
Mailing Address - Street 1:10925 ESTATE LN
Mailing Address - Street 2:SUITE 215
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-2315
Mailing Address - Country:US
Mailing Address - Phone:214-341-0741
Mailing Address - Fax:214-341-1312
Practice Address - Street 1:10925 ESTATE LN
Practice Address - Street 2:SUITE 215
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-2315
Practice Address - Country:US
Practice Address - Phone:214-341-0741
Practice Address - Fax:214-341-1312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008476251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679404Medicare ID - Type Unspecified