Healthcare Provider Details

I. General information

NPI: 1063348225
Provider Name (Legal Business Name): THE FRIENDSHIP HUB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 MORNINGSIDE DR
WAYCROSS GA
31501-6090
US

IV. Provider business mailing address

1001 MORNINGSIDE DR
WAYCROSS GA
31501-6090
US

V. Phone/Fax

Practice location:
  • Phone: 912-282-1664
  • Fax: 912-282-1664
Mailing address:
  • Phone: 912-282-1664
  • Fax: 912-282-1664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. JANICE WATERS-KIRTON
Title or Position: DIRECTOR
Credential: LPN
Phone: 912-282-1664