Organization
FOREVER FRIENDS INC
Active
Organization
FOREVER FRIENDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAZENDRE JACKSON HHA (CEO)
(561) 537-0222
Entity
Organization
Contact information
Practice address
1933 HIBISCUS LN, RIVIERA BEACH, FL 33404-1872
(561) 537-0222
(229) 233-4329
Mailing address
1933 HIBISCUS LN, RIVIERA BEACH, FL 33404-1872
(561) 537-0222
(229) 233-4329
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112157300
—
FL
Enumeration date
01/27/2022
Last updated
01/27/2022
Update your record
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