Provider Demographics
NPI:1104479922
Name:FRIENDLY HOME HEALTH CARE CORP
Entity type:Organization
Organization Name:FRIENDLY HOME HEALTH CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GISEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDRANO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:239-529-5986
Mailing Address - Street 1:5051 CASTELLO DR STE 16
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-8983
Mailing Address - Country:US
Mailing Address - Phone:239-529-5986
Mailing Address - Fax:
Practice Address - Street 1:5051 CASTELLO DR STE 16
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-8983
Practice Address - Country:US
Practice Address - Phone:239-529-5986
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-21
Last Update Date:2019-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health