Healthcare Provider Details

I. General information

NPI: 1982016119
Provider Name (Legal Business Name): FRIENDS LIKE YOU INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2014
Last Update Date: 05/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1917 SW 3RD ST
CAPE CORAL FL
33991-1398
US

IV. Provider business mailing address

1917 SW 3RD ST
CAPE CORAL FL
33991-1398
US

V. Phone/Fax

Practice location:
  • Phone: 239-240-9970
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA LYNN GORGON
Title or Position: PRESIDENT
Credential:
Phone: 239-240-9970