Provider Demographics
NPI:1407122070
Name:AFD PCS SERVICES
Entity Type:Organization
Organization Name:AFD PCS SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:DONALD
Authorized Official - Last Name:SHELTON
Authorized Official - Suffix:
Authorized Official - Credentials:BS BUSINESS ADMIN
Authorized Official - Phone:919-676-1070
Mailing Address - Street 1:4020 WAKE FOREST RD
Mailing Address - Street 2:SUITE 102 E
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-6866
Mailing Address - Country:US
Mailing Address - Phone:919-676-1070
Mailing Address - Fax:
Practice Address - Street 1:4020 WAKE FOREST RD
Practice Address - Street 2:SUITE 102 E
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6866
Practice Address - Country:US
Practice Address - Phone:919-676-1070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AFFORDABLE FAMILY CARE SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-03-28
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4013251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health