Provider Demographics
NPI:1801516257
Name:UNIVERSE HEALTHCARE AFC LLC
Entity type:Organization
Organization Name:UNIVERSE HEALTHCARE AFC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAXA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-414-8556
Mailing Address - Street 1:44 FISHER ST
Mailing Address - Street 2:
Mailing Address - City:NORTHBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01532-1211
Mailing Address - Country:US
Mailing Address - Phone:508-414-8556
Mailing Address - Fax:888-686-0034
Practice Address - Street 1:84 BRICK KILN RD
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-3218
Practice Address - Country:US
Practice Address - Phone:508-414-8556
Practice Address - Fax:888-686-0034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency