Organization · NPI-2
Afnb Home Care LLC
In Home Supportive Care · Shreveport, LA
NPI number1063692408
StatusActive
Last updated in NPPESJul 22, 2022
Details
- NPI
- 1063692408
- Entity type
- Organization (NPI-2)
- Legal business name
- Afnb Home Care LLC
- Organization subpart
- No
- Enumeration date
- Nov 13, 2007
- Certification date
- Jul 22, 2022
- Last updated
- Jul 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
7591 Fern Ave Ste 1401Shreveport, LA 71105-5747
Phone 318-682-8182 · Fax 318-686-6899
Mailing address
Po Box 60366Lafayette, LA 70596-0366
Phone 337-233-4778
Authorized official
John Fackrell
Ceo
3372334779
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