Healthcare Provider Details

I. General information

NPI: 1013921311
Provider Name (Legal Business Name): SENIOR FRIENDSHIP CENTERS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 08/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1888 BROTHER GEENEN WAY
SARASOTA FL
34236-7118
US

IV. Provider business mailing address

2350 SCENIC DR
VENICE FL
34293-1510
US

V. Phone/Fax

Practice location:
  • Phone: 941-556-3215
  • Fax: 941-955-8214
Mailing address:
  • Phone: 941-584-0030
  • Fax: 941-955-8214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. ERIN MCLEOD
Title or Position: CEO
Credential:
Phone: 941-556-3243