Provider Demographics
NPI:1861008963
Name:AFFECTIONATE HEALTHCARE SERVICES INC
Entity type:Organization
Organization Name:AFFECTIONATE HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:WASAJJA
Authorized Official - Last Name:BUZIBWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-308-9867
Mailing Address - Street 1:303 WYMAN ST STE 300
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-1255
Mailing Address - Country:US
Mailing Address - Phone:781-363-4871
Mailing Address - Fax:
Practice Address - Street 1:303 WYMAN ST STE 300
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-1255
Practice Address - Country:US
Practice Address - Phone:781-363-4871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-23
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282J00000XHospitalsReligious Nonmedical Health Care Institution
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care