Healthcare Provider Details

I. General information

NPI: 1982032744
Provider Name (Legal Business Name): AM AND FM ENTERPRISE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2013
Last Update Date: 07/29/2020
Certification Date: 07/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

616-10TH STREET EAST
BRADENTON FL
34208
US

IV. Provider business mailing address

616-10TH STREET EAST
BRADENTON FL
34208
US

V. Phone/Fax

Practice location:
  • Phone: 941-747-8504
  • Fax: 941-747-6505
Mailing address:
  • Phone: 941-747-8504
  • Fax: 941-747-6505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. ALBERTA L MCINTOSH
Title or Position: CEO
Credential: LPN
Phone: 941-747-8504