Organization
FRIENDS FOREVER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARLENE Y SAMUELS (OWNER)
(772) 224-4466
Entity
Organization
Contact information
Practice address
4241 SW HAGAPLAN ST, PORT ST LUCIE, FL 34953-6583
(772) 224-4466
Mailing address
4241 SW HAGAPLAN ST, PORT ST LUCIE, FL 34953-6583
(772) 224-4466
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
000315500
FL
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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