MEDICARE: FRIENDLY INN SETTLEMENT, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	276400000X	Substance Use Disorder Rehabilitation Hospital Unit

General Provider Information

NPI Number	:	1124733316
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRIENDLY INN SETTLEMENT, INC

Provider Business Mailing Address
First Line	:	2386 UNWIN RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44104-1099
Country	:	US
Telephone Number	:	216-431-7656
Fax Number	:

Provider Business Practice Location Address
First Line	:	2386 UNWIN RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44104-1099
Country	:	US
Telephone Number	:	216-431-7656
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	YOLANDA Y ARMSTRONG-STRONG
Credential	:	MSSA, LSW
Telephone Number	:	216-431-7656

Provider Enumeration Date	:	01/23/2023
Last Update Date	:	01/23/2023

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