Healthcare Provider Details

I. General information

NPI: 1669397253
Provider Name (Legal Business Name): AFRO SWANK CONSULTING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3417 MOSS LN
VIOLET LA
70092-3729
US

IV. Provider business mailing address

3417 MOSS LN
VIOLET LA
70092-3729
US

V. Phone/Fax

Practice location:
  • Phone: 504-406-1089
  • Fax:
Mailing address:
  • Phone: 504-406-1089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MS. KEVALENETTE JOHNSON
Title or Position: OWNER
Credential:
Phone: 504-406-1089