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NPI Code Detail

MEDICARE: AFNB HOME CARE LLC

MEDICARE: AFNB HOME CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency2203782293LA

General Provider Information

NPI Number : 1225413354
Entity Type Code : Organization
Provider Name (Legal Business Name) : AFNB HOME CARE LLC
Provider Business Mailing Address
First Line : PO BOX 80413
Second Line :
City : LAFAYETTE
State : LA
Zip : 70598-0413
Country : US
Telephone Number : 337-233-4778
Fax Number : 337-233-4779
Provider Business Practice Location Address
First Line : 1304 BERTRAND DR STE D6
Second Line :
City : LAFAYETTE
State : LA
Zip : 70506-9104
Country : US
Telephone Number : 337-233-4778
Fax Number : 337-233-4779
Authorized Official
Title or Position : CEO
Name : JOHN FACKRELL
Credential :
Telephone Number : 337-233-4778
Provider Enumeration Date : 07/30/2015
Last Update Date : 02/17/2026

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Directions to “AFNB HOME CARE LLC ” Practice Location

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