Provider Demographics
NPI:1245462340
Name:OFFORDABLE HOME CARE SERVICES
Entity type:Organization
Organization Name:OFFORDABLE HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAULINE
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:OLDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-337-2251
Mailing Address - Street 1:1800 N MISSOURI ST
Mailing Address - Street 2:STE12E
Mailing Address - City:WEST MEMPHIS
Mailing Address - State:AR
Mailing Address - Zip Code:72301-1791
Mailing Address - Country:US
Mailing Address - Phone:901-337-2251
Mailing Address - Fax:
Practice Address - Street 1:1800 N MISSOURI ST
Practice Address - Street 2:STE12E
Practice Address - City:WEST MEMPHIS
Practice Address - State:AR
Practice Address - Zip Code:72301-1791
Practice Address - Country:US
Practice Address - Phone:901-337-2251
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-22
Last Update Date:2009-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care