Provider Demographics
NPI:1699020438
Name:A FAMILY AFFAIR ALH
Entity Type:Organization
Organization Name:A FAMILY AFFAIR ALH
Other - Org Name:YES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CAREGIVER MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:IONESCU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-493-0605
Mailing Address - Street 1:15801 NORTH 19TH PLACE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022
Mailing Address - Country:US
Mailing Address - Phone:602-493-0605
Mailing Address - Fax:
Practice Address - Street 1:15801 N 19TH PL
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-3313
Practice Address - Country:US
Practice Address - Phone:602-493-0605
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-18
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376G00000XNursing Service Related ProvidersNursing Home AdministratorGroup - Multi-Specialty