Provider Demographics
NPI:1912676198
Name:AFRA HEALTH INC.
Entity Type:Organization
Organization Name:AFRA HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KWASI
Authorized Official - Middle Name:A
Authorized Official - Last Name:MANU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-630-5088
Mailing Address - Street 1:301 E MACDADE BLVD FL 1
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:PA
Mailing Address - Zip Code:19033-2622
Mailing Address - Country:US
Mailing Address - Phone:888-707-2372
Mailing Address - Fax:888-919-6863
Practice Address - Street 1:301 E MACDADE BLVD FL 1
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:PA
Practice Address - Zip Code:19033-2622
Practice Address - Country:US
Practice Address - Phone:888-707-2372
Practice Address - Fax:888-919-6863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-10
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty