| NPI | 1154544856 |
|---|---|
| Doing Business As | FRIENDSHIP PERSONAL CARE HOME |
| Entity Type | Organization |
| Authorized Contact | PORTIA S JOHNSON Administrator 229-438-8517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |