Organization
FRIENDSHIP CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDULKADIR MOHAMED SIMBA (OWNER)
(623) 444-0615
Entity
Organization
Contact information
Practice address
2425 E CAMELBACK RD, PHOENIX, AZ 85016-4200
(623) 444-0615
Mailing address
6001 N 43RD AVE # 1084, PHOENIX, AZ 85019-1638
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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