Healthcare Provider Details

I. General information

NPI: 1770544017
Provider Name (Legal Business Name): FRIENDS AND COMPANIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2006
Last Update Date: 12/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 ENTERPRISE LANE
LONDON KY
40741-2012
US

IV. Provider business mailing address

125 ENTERPRISE LANE
LONDON KY
40741-2012
US

V. Phone/Fax

Practice location:
  • Phone: 606-877-3357
  • Fax: 606-864-3725
Mailing address:
  • Phone: 606-877-3357
  • Fax: 606-864-3725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number750070
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateKY

VIII. Authorized Official

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