Provider Demographics
NPI:1194256214
Name:FRIENDS KEEP HOPE ALIVE INC
Entity type:Organization
Organization Name:FRIENDS KEEP HOPE ALIVE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FAUSTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:QUAYSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-888-7708
Mailing Address - Street 1:24211 88TH RD
Mailing Address - Street 2:
Mailing Address - City:BELLEROSE
Mailing Address - State:NY
Mailing Address - Zip Code:11426-1225
Mailing Address - Country:US
Mailing Address - Phone:718-888-7708
Mailing Address - Fax:
Practice Address - Street 1:24211 88TH RD
Practice Address - Street 2:
Practice Address - City:BELLEROSE
Practice Address - State:NY
Practice Address - Zip Code:11426-1225
Practice Address - Country:US
Practice Address - Phone:718-888-7708
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-21
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health