Provider Demographics
NPI:1497928956
Name:AFC HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:AFC HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:OLAWORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-480-8885
Mailing Address - Street 1:1015 PARK GATE PL
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30083-2646
Mailing Address - Country:US
Mailing Address - Phone:888-480-8885
Mailing Address - Fax:
Practice Address - Street 1:1015 PARK GATE PL
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30083-2646
Practice Address - Country:US
Practice Address - Phone:888-480-8885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-04
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA00212964251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health