MEDICARE: SENIOR FRIENDSHIP CENTERS, 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	261Q00000X	Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164436473
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENIOR FRIENDSHIP CENTERS, INC

Provider Business Mailing Address
First Line	:	2350 SCENIC DR
Second Line	:
City	:	VENICE
State	:	FL
Zip	:	34293-1510
Country	:	US
Telephone Number	:	941-584-0043
Fax Number	:	941-496-8627

Provider Business Practice Location Address
First Line	:	2350 SCENIC DR
Second Line	:
City	:	VENICE
State	:	FL
Zip	:	34293-1510
Country	:	US
Telephone Number	:	941-584-0043
Fax Number	:	941-496-8627

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	MRS. LAURA ANN YINGLING
Credential	:
Telephone Number	:	941-584-0030

Provider Enumeration Date	:	07/29/2006
Last Update Date	:	07/12/2019

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