Provider Demographics
NPI:1356071930
Name:KEREN'S AFCH LLC
Entity Type:Organization
Organization Name:KEREN'S AFCH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEREN
Authorized Official - Middle Name:
Authorized Official - Last Name:STOKES NEIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-680-0988
Mailing Address - Street 1:29 PINE COURT LOOP
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34472-9095
Mailing Address - Country:US
Mailing Address - Phone:352-680-0988
Mailing Address - Fax:352-680-0988
Practice Address - Street 1:29 PINE COURT LOOP
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34472-9095
Practice Address - Country:US
Practice Address - Phone:352-680-0988
Practice Address - Fax:352-680-0988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home