Provider Demographics
NPI:1649622630
Name:AFFORDABLE & EXCELLENT HOME HEALTH CARE
Entity type:Organization
Organization Name:AFFORDABLE & EXCELLENT HOME HEALTH CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:ALPHIN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:314-680-7533
Mailing Address - Street 1:906 GREEN BRIAR HILLS DR
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63366-5597
Mailing Address - Country:US
Mailing Address - Phone:314-680-7533
Mailing Address - Fax:
Practice Address - Street 1:906 GREEN BRIAR HILLS DR
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63366-5597
Practice Address - Country:US
Practice Address - Phone:314-680-7533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-01
Last Update Date:2016-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health