Provider Demographics
NPI:1134604374
Name:IRENE'S FAMILY & FRIENDS INDULGENT (IFFI) CARE, LLC
Entity type:Organization
Organization Name:IRENE'S FAMILY & FRIENDS INDULGENT (IFFI) CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF ADMINISTRATIVE OFFICER (CAO)
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:KALU
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:912-247-7484
Mailing Address - Street 1:103 LAKEVIEW CT
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-6354
Mailing Address - Country:US
Mailing Address - Phone:912-247-7484
Mailing Address - Fax:
Practice Address - Street 1:12502 CRANWOOD LN
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419-2646
Practice Address - Country:US
Practice Address - Phone:912-247-7484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-03
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home