Provider Demographics
NPI:1922846922
Name:FRIENDS 4 OUR LOVE 1'S
Entity type:Organization
Organization Name:FRIENDS 4 OUR LOVE 1'S
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOO
Authorized Official - Prefix:
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:LOCKETT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:440-742-6002
Mailing Address - Street 1:17325 EUCLID AVE STE 1111
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44112-1247
Mailing Address - Country:US
Mailing Address - Phone:440-742-6002
Mailing Address - Fax:216-888-2088
Practice Address - Street 1:17325 EUCLID AVE STE 1111
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-1247
Practice Address - Country:US
Practice Address - Phone:440-742-6002
Practice Address - Fax:216-888-2088
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRIENDS 4 OUR LOVE 1'S
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services