Provider Demographics
NPI:1952541427
Name:FRIENDS FIRST HOME CARE LLC
Entity Type:Organization
Organization Name:FRIENDS FIRST HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:P
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:856-795-5189
Mailing Address - Street 1:426 CHERRY HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-1912
Mailing Address - Country:US
Mailing Address - Phone:856-795-5189
Mailing Address - Fax:856-210-1872
Practice Address - Street 1:426 CHERRY HILL BLVD
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-1912
Practice Address - Country:US
Practice Address - Phone:856-795-5189
Practice Address - Fax:856-210-1872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-24
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0112000251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health