Healthcare Provider Details

I. General information

NPI: 1174712848
Provider Name (Legal Business Name): FRIENDS AND COMPANIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2007
Last Update Date: 12/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1957 S US HIGHWAY 25E STE A
BARBOURVILLE KY
40906-7600
US

IV. Provider business mailing address

1957 S US HIGHWAY 25E STE A
BARBOURVILLE KY
40906-7600
US

V. Phone/Fax

Practice location:
  • Phone: 606-546-6859
  • Fax: 606-877-3240
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. JOYCE A LEWIS
Title or Position: MANAGING MEMBER
Credential: R.N
Phone: 606-877-1135