Provider Demographics
NPI:1154939189
Name:FRIENDS PLACE ADULT DAY SERVICES
Entity type:Organization
Organization Name:FRIENDS PLACE ADULT DAY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-787-1736
Mailing Address - Street 1:1960 NANTUCKET DR
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3354
Mailing Address - Country:US
Mailing Address - Phone:972-437-2940
Mailing Address - Fax:
Practice Address - Street 1:1960 NANTUCKET DR
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3354
Practice Address - Country:US
Practice Address - Phone:972-437-2940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-15
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care