Healthcare Provider Details

I. General information

NPI: 1992729354
Provider Name (Legal Business Name): SENIOR FRIENDSHIP CENTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 07/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2355 STANFORD COURT UNIT 701 SENIOR FRIENDSHIP HEALTH CENTER
NAPLES FL
34112
US

IV. Provider business mailing address

2350 SCENIC DR
VENICE FL
34293-1510
US

V. Phone/Fax

Practice location:
  • Phone: 239-566-7425
  • Fax: 239-593-3430
Mailing address:
  • Phone: 941-584-0036
  • Fax: 941-497-7195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. LAURA ANN YINGLING
Title or Position: BILLING MANAGER
Credential:
Phone: 941-584-0030