Healthcare Provider Details

I. General information

NPI: 1346370608
Provider Name (Legal Business Name): AFANWI HOME HEALTHCARE SERVICES, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 10/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2602 MARBLE MANOR LN
KATY TX
77449-2344
US

IV. Provider business mailing address

2602 MARBLE MANOR LN
KATY TX
77449-2344
US

V. Phone/Fax

Practice location:
  • Phone: 281-492-9545
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number011089
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number011089
License Number StateTX

VIII. Authorized Official

Name: MR. NORBERT NDOFOR
Title or Position: CFO
Credential:
Phone: 281-881-2256