Provider Demographics
NPI:1427485143
Name:SENIOR FRIENDSHIP CENTERS
Entity type:Organization
Organization Name:SENIOR FRIENDSHIP CENTERS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN-IRWIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-275-1881
Mailing Address - Street 1:5272 SUMMERLIN COMMONS WAY
Mailing Address - Street 2:SUITE 604
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-2156
Mailing Address - Country:US
Mailing Address - Phone:239-275-1881
Mailing Address - Fax:239-275-1077
Practice Address - Street 1:1888 BROTHER GEENEN WAY
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-7118
Practice Address - Country:US
Practice Address - Phone:941-955-2122
Practice Address - Fax:941-366-8247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-27
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management