Provider Demographics
NPI:1457550360
Name:AFRIA HEALTHCARE, LLC
Entity Type:Organization
Organization Name:AFRIA HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:VALERIA
Authorized Official - Middle Name:KAYE
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:404-284-7178
Mailing Address - Street 1:4319 COVINGTON HWY STE 309M
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30035-1207
Mailing Address - Country:US
Mailing Address - Phone:404-284-7178
Mailing Address - Fax:404-284-7213
Practice Address - Street 1:4319 COVINGTON HWY STE 309M
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30035-1207
Practice Address - Country:US
Practice Address - Phone:404-284-7178
Practice Address - Fax:404-284-7213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA044-R-0099251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health