Provider Demographics
NPI:1093355083
Name:NAAFAY, LLC
Entity Type:Organization
Organization Name:NAAFAY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:FOKUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-640-4720
Mailing Address - Street 1:265 BEAR HILL RD
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-2115
Mailing Address - Country:US
Mailing Address - Phone:781-640-4720
Mailing Address - Fax:
Practice Address - Street 1:265 BEAR HILL RD
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-2115
Practice Address - Country:US
Practice Address - Phone:781-640-4720
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-08
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility