Provider Demographics
NPI:1043062250
Name:J&L AFC HOMEAND HOME CARE LLC
Entity Type:Organization
Organization Name:J&L AFC HOMEAND HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SADE
Authorized Official - Middle Name:S
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-501-4968
Mailing Address - Street 1:3215 OSLER CT
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-3219
Mailing Address - Country:US
Mailing Address - Phone:989-501-4968
Mailing Address - Fax:989-401-3236
Practice Address - Street 1:2316 PERKINS ST # 2
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48601-1518
Practice Address - Country:US
Practice Address - Phone:989-501-4968
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health