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NPI Code Detail

MEDICARE: FRIDAY FAMILY HOME CARE, INC.

MEDICARE: FRIDAY FAMILY HOME CARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency1000000020582TN

General Provider Information

NPI Number : 1831612167
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRIDAY FAMILY HOME CARE, INC.
Provider Business Mailing Address
First Line : 5865 RIDGEWAY CENTER PKWY STE 300
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-4014
Country : US
Telephone Number : 901-296-4128
Fax Number :
Provider Business Practice Location Address
First Line : 5865 RIDGEWAY CENTER PKWY STE 300
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-4014
Country : US
Telephone Number : 901-296-4128
Fax Number :
Authorized Official
Title or Position : OWNER
Name : QUATELLA FRIDAY
Credential :
Telephone Number : 901-410-0565
Provider Enumeration Date : 07/18/2017
Last Update Date : 07/21/2022

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