Provider Demographics
NPI:1184276495
Name:ASSISTED FAMILY SERVICES LLC
Entity type:Organization
Organization Name:ASSISTED FAMILY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:CUMMINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-861-5928
Mailing Address - Street 1:3825 GILBERT DR STE 115
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71104-5049
Mailing Address - Country:US
Mailing Address - Phone:318-861-5928
Mailing Address - Fax:318-861-5927
Practice Address - Street 1:3825 GILBERT DR STE 115
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71104-5049
Practice Address - Country:US
Practice Address - Phone:318-861-5928
Practice Address - Fax:318-861-5927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-16
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management