Organization · NPI-2

Family Friend,llc

Nursing Care · Columbus, MS

NPI number1497292205
StatusActive
Last updated in NPPESJan 31, 2017

Details

NPI
1497292205
Entity type
Organization (NPI-2)
Legal business name
Family Friend,llc
Organization subpart
No
Enumeration date
Jan 31, 2017
Last updated
Jan 31, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251J00000X Nursing Care1059530MSYes
253Z00000X In Home Supportive Care1059530MS

Practice location

1504 23rd St N
Columbus, MS 39701-2528

Phone 662-609-4976 · Fax 662-223-3061

Mailing address

1504 23rd St N
Columbus, MS 39701-2528

Phone 662-609-4976 · Fax 662-223-3061

Authorized official

Tiffany Renee Sturdivant
Director
6626094976

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