MEDICARE: FRIENDSHIP COMMUNITY

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	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	334470	PA

General Provider Information

NPI Number	:	1568673358
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRIENDSHIP COMMUNITY

Provider Business Mailing Address
First Line	:	1149 E OREGON RD
Second Line	:
City	:	LITITZ
State	:	PA
Zip	:	17543-8366
Country	:	US
Telephone Number	:	717-656-2466
Fax Number	:	717-656-0459

Provider Business Practice Location Address
First Line	:	1144 SHEEP HILL RD
Second Line	:
City	:	NEW HOLLAND
State	:	PA
Zip	:	17557-9572
Country	:	US
Telephone Number	:	717-656-2466
Fax Number	:	717-646-0459

Authorized Official
Title or Position	:	DIRECTOR OF FINANCE
Name	:	MYRON B STONER
Credential	:
Telephone Number	:	717-656-2466

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	08/22/2020

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Directions to “FRIENDSHIP COMMUNITY ” Practice Location

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