Organization · NPI-2
Family Affair Home Services LLC
In Home Supportive Care · Mableton, GA
NPI number1669213336
StatusActive
Last updated in NPPESJun 5, 2024
Details
- NPI
- 1669213336
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Affair Home Services LLC
- Organization subpart
- No
- Enumeration date
- Jun 5, 2024
- Certification date
- Jun 5, 2024
- Last updated
- Jun 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Other names
- Family Affair Home Services LLC (Doing Business As)
Practice location
5701 Mableton Pkwy Sw Ste 312Mableton, GA 30126-3362
Phone 314-441-0104 · Fax 855-274-4559
Mailing address
5701 Mableton Pkwy Sw Ste 312Mableton, GA 30126-3362
Phone 314-441-0104 · Fax 855-274-4559
Authorized official
Sharaela O Riggens
Director
3144410104
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