Provider Demographics
NPI:1891548053
Name:AFFILIATE CAREGIVING SERVICES
Entity Type:Organization
Organization Name:AFFILIATE CAREGIVING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LYNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOURA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-455-7528
Mailing Address - Street 1:491 BALTIMORE PIKE STE 1212
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-3810
Mailing Address - Country:US
Mailing Address - Phone:267-455-7528
Mailing Address - Fax:
Practice Address - Street 1:434 OAK AVE
Practice Address - Street 2:
Practice Address - City:SHARON HILL
Practice Address - State:PA
Practice Address - Zip Code:19079-1007
Practice Address - Country:US
Practice Address - Phone:267-455-7528
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health