Friends for Life

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

120555 Issued in TX

Legal business name

FRIENDS FOR LIFE

Practice address

5000 Lakewood Dr
Waco, TX 76710-2921

Phone

(254) 772-7600

Fax

(254) 757-2576

NPI assigned

Oct 10, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mike Dunham

Title

Operations Manager

Phone

(254) 772-7600

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1376731836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 LAKEWOOD DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102921",
            "telephone_number": "254-772-7600",
            "fax_number": "254-757-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 LAKEWOOD DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102921",
            "telephone_number": "254-772-7600",
            "fax_number": "254-757-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDS FOR LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "DUNHAM",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "254-772-7600"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": "120555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Rae Freeman, OTR
• William Jacob French, FNP
• Laura Brown Freund, RN
• Amanda Faye Frey, LCSW
• Maria Concepcion Frias
• Bennjamin Duane Fronk, M.D.
• Felicity Frost, BS
• Jordin Frost
• Donald Fru, MD
• Christina Fuller

• Adult Day Care Clinic/Center in Waco, TX
• Providers in Waco, TX by specialty
• Adult Day Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.