Provider Demographics
NPI:1780627398
Name:SPECIAL FRIENDS CARE, INC.
Entity type:Organization
Organization Name:SPECIAL FRIENDS CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:K
Authorized Official - Last Name:HOLLOWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-692-4930
Mailing Address - Street 1:1031 N.W. 6TH ST
Mailing Address - Street 2:SUITE F-1
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32601
Mailing Address - Country:US
Mailing Address - Phone:352-692-4930
Mailing Address - Fax:352-692-4934
Practice Address - Street 1:1031 NW 6TH ST
Practice Address - Street 2:SUITE F-1
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-2226
Practice Address - Country:US
Practice Address - Phone:352-692-4930
Practice Address - Fax:352-692-4934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health