Provider Demographics
NPI:1568206860
Name:FRIENDNFAMILY CARE GA LLC
Entity type:Organization
Organization Name:FRIENDNFAMILY CARE GA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARIF
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-204-6335
Mailing Address - Street 1:2920 DANIEL PARK RUN
Mailing Address - Street 2:
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-7802
Mailing Address - Country:US
Mailing Address - Phone:917-204-6335
Mailing Address - Fax:470-508-8864
Practice Address - Street 1:2920 DANIEL PARK RUN
Practice Address - Street 2:
Practice Address - City:DACULA
Practice Address - State:GA
Practice Address - Zip Code:30019-7802
Practice Address - Country:US
Practice Address - Phone:917-204-6335
Practice Address - Fax:470-508-8864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-21
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health