Healthcare Provider Details

I. General information

NPI: 1407284391
Provider Name (Legal Business Name): SENIOR FRIENDSHIP CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2013
Last Update Date: 10/31/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 SCENIC DR
VENICE FL
34293-1510
US

IV. Provider business mailing address

2350 SCENIC DR
VENICE FL
34293-1510
US

V. Phone/Fax

Practice location:
  • Phone: 941-584-0090
  • Fax: 941-497-7195
Mailing address:
  • Phone: 941-584-0090
  • Fax: 941-497-7195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number StateFL

VIII. Authorized Official

Name: NANCY GREEN-IRWIN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 239-275-1881