Healthcare Provider Details

I. General information

NPI: 1679944318
Provider Name (Legal Business Name): FRIENDS WHO CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2015
Last Update Date: 10/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

808 W CHICAGO BLVD SUITE 13
TECUMSEH MI
49286-1666
US

IV. Provider business mailing address

800 W CHICAGO
TECUMSEH MI
49286-1666
US

V. Phone/Fax

Practice location:
  • Phone: 517-423-0004
  • Fax:
Mailing address:
  • Phone: 517-423-0004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number4703028366
License Number StateMI

VIII. Authorized Official

Name: MS. GEORGIANA COVEL
Title or Position: RN SUPERVISOR
Credential: RN
Phone: 517-423-0004