MEDICARE: S&F GOOD FRIENDS LLC.

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	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1326330499
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	S&F GOOD FRIENDS LLC.

Provider Business Mailing Address
First Line	:	300 SANDPIPER AVE
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-1760
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	508 S STANDARD AVE
Second Line	:
City	:	SAN JUAN
State	:	TX
Zip	:	78589-2443
Country	:	US
Telephone Number	:	956-782-1000
Fax Number	:	956-782-1080

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. FATHI A HAJ-YAHYA
Credential	:
Telephone Number	:	956-739-8562

Provider Enumeration Date	:	05/09/2011
Last Update Date	:	05/09/2011

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