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Organization

FRIENDLY CARE AGENCY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. QUANTEZ D PARKS (ASSISTANT ADMINISTRATOR)
(478) 216-8250
Entity
Organization

Contact information

Practice address
4480 RIVERSIDE DR STE 20, MACON, GA 31210-1363
(478) 216-8250
Mailing address
4480 RIVERSIDE DR STE 20, MACON, GA 31210-1363
(478) 216-8250

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
05/24/2016
Last updated
05/24/2016
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