Provider Demographics
NPI:1881277465
Name:FRIENDLY HORIZONS LLC
Entity type:Organization
Organization Name:FRIENDLY HORIZONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:BRENDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-594-2296
Mailing Address - Street 1:48475 258TH ST
Mailing Address - Street 2:
Mailing Address - City:VALLEY SPRINGS
Mailing Address - State:SD
Mailing Address - Zip Code:57068-6728
Mailing Address - Country:US
Mailing Address - Phone:605-594-2296
Mailing Address - Fax:
Practice Address - Street 1:645 1ST AVE SW
Practice Address - Street 2:
Practice Address - City:SIOUX CENTER
Practice Address - State:IA
Practice Address - Zip Code:51250-1356
Practice Address - Country:US
Practice Address - Phone:712-722-5153
Practice Address - Fax:712-722-5154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-03
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility