Provider Demographics
NPI:1770338717
Name:A FRIEND FOR LIFE HOME CARE LLC
Entity type:Organization
Organization Name:A FRIEND FOR LIFE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TEMIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLIDAY-ARCHIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-333-9374
Mailing Address - Street 1:1104 CORPORATE WAY STE 242
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95831-3875
Mailing Address - Country:US
Mailing Address - Phone:916-910-0001
Mailing Address - Fax:
Practice Address - Street 1:1104 CORPORATE WAY STE 242
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95831-3875
Practice Address - Country:US
Practice Address - Phone:916-910-0001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care