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General NPI Number Information
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NPI Number | 1790375426
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Entity Type | Organization
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Legal Business Name | AFFORDABLE FAMILY HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 01/26/2021
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Last Update Date | 03/29/2021
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Provider Practice Location Address
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Address Line | 12461 VETERANS MEMORIAL HWY STE 675
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-2025
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Country | US
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Telephone | 470-260-2424
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Fax | 470-260-2949
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Provider Business Mailing Address
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Address Line | 12461 VETERANS MEMORIAL HWY STE 675
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-2025
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Country | US
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Telephone | 470-260-2424
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Fax | 470-260-2949
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MS. ANTOINETTE D WRIGHT
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Credential |
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Telephone | 470-260-2424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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