Healthcare Provider Details

I. General information

NPI: 1346105350
Provider Name (Legal Business Name): AFFINITY ANGELS CARE HELENS ADULT DAY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2025
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 FRANKLIN DR STE D
DACULA GA
30019-3434
US

IV. Provider business mailing address

360 FRANKLIN DR STE D
DACULA GA
30019-3434
US

V. Phone/Fax

Practice location:
  • Phone: 888-532-9266
  • Fax:
Mailing address:
  • Phone: 888-532-9266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. LYTIFFANY JENNINGS
Title or Position: CEO
Credential:
Phone: 770-568-6552