Organization · NPI-2

Affinity Health Home, LLC

Case Manager/Care Coordinator · Springfield, IL

NPI number1073140299
StatusActive
Last updated in NPPESMar 26, 2020

Details

NPI
1073140299
Entity type
Organization (NPI-2)
Legal business name
Affinity Health Home, LLC
Organization subpart
No
Enumeration date
Mar 26, 2020
Certification date
Mar 26, 2020
Last updated
Mar 26, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

217 E Monroe St Ste 204
Springfield, IL 62701-1746

Phone 800-273-7105

Mailing address

217 E Monroe St Ste 204
Springfield, IL 62701-1746

Authorized official

Joseph Packett
Coo
7276434714

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