Provider Demographics
NPI:1962752360
Name:FRIENDSHIP HOMECARE, INC.
Entity type:Organization
Organization Name:FRIENDSHIP HOMECARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MAC
Authorized Official - Middle Name:
Authorized Official - Last Name:AZUOGU
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:303-995-6758
Mailing Address - Street 1:9753 LAREDO ST
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80130-4163
Mailing Address - Country:US
Mailing Address - Phone:303-995-6758
Mailing Address - Fax:303-346-2419
Practice Address - Street 1:739 W LITTLETON BLVD
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-2337
Practice Address - Country:US
Practice Address - Phone:303-995-6758
Practice Address - Fax:303-346-2419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health