Provider Demographics
NPI:1467215129
Name:AFZEEE, LLC
Entity Type:Organization
Organization Name:AFZEEE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:YELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:SVERDLOVA
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:951-557-3777
Mailing Address - Street 1:PO BOX 1027
Mailing Address - Street 2:
Mailing Address - City:YUCAIPA
Mailing Address - State:CA
Mailing Address - Zip Code:92399-1027
Mailing Address - Country:US
Mailing Address - Phone:951-557-3777
Mailing Address - Fax:
Practice Address - Street 1:1718 CASEROS DR
Practice Address - Street 2:
Practice Address - City:SAN JACINTO
Practice Address - State:CA
Practice Address - Zip Code:92582-3304
Practice Address - Country:US
Practice Address - Phone:951-557-3777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No174200000XOther Service ProvidersMeals
No177F00000XOther Service ProvidersLodging
No276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit