MEDICARE: A & F GALAXY INC

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
1	320700000X	Physical Disabilities Residential Treatment Facility

General Provider Information

NPI Number	:	1710279963
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A & F GALAXY INC

Provider Business Mailing Address
First Line	:	9115 DRAGONWOOD TRL
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-6575
Country	:	US
Telephone Number	:	713-503-6902
Fax Number	:	281-530-6015

Provider Business Practice Location Address
First Line	:	9115 DRAGONWOOD TRL
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-6575
Country	:	US
Telephone Number	:	713-503-6902
Fax Number	:	281-530-6015

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. FRANCIS ETSE DZEFI
Credential	:
Telephone Number	:	413-330-7420

Provider Enumeration Date	:	05/06/2011
Last Update Date	:	05/06/2011

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Directions to “A & F GALAXY INC ” Practice Location

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