Provider Demographics
NPI:1710279963
Name:A & F GALAXY INC
Entity Type:Organization
Organization Name:A & F GALAXY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:ETSE
Authorized Official - Last Name:DZEFI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-330-7420
Mailing Address - Street 1:9115 DRAGONWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-6575
Mailing Address - Country:US
Mailing Address - Phone:713-503-6902
Mailing Address - Fax:281-530-6015
Practice Address - Street 1:9115 DRAGONWOOD TRL
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-6575
Practice Address - Country:US
Practice Address - Phone:713-503-6902
Practice Address - Fax:281-530-6015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-06
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities