Provider Demographics
NPI:1255816823
Name:A & F DEPENDABLE HOME CARE, LLC
Entity type:Organization
Organization Name:A & F DEPENDABLE HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KINSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:AYANGIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-278-9560
Mailing Address - Street 1:10299 UNIVERSITY AVE NE
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:55434-8020
Mailing Address - Country:US
Mailing Address - Phone:651-278-9560
Mailing Address - Fax:
Practice Address - Street 1:10299 UNIVERSITY AVE NE
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:MN
Practice Address - Zip Code:55434-8020
Practice Address - Country:US
Practice Address - Phone:651-278-9560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-30
Last Update Date:2018-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health