MEDICARE: ANGELIQUE MCAFEE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	372600000X	Adult Companion	NV
2	3747A0650X	Attendant Care Provider	NV
3	376J00000X	Homemaker	NV
4	3747P1801X	Personal Care Attendant	NV
5	106S00000X	Behavior Technician	GA
6	372500000X	Chore Provider	NV

General Provider Information

NPI Number	:	1790249647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELIQUE MCAFEE

Provider Business Mailing Address
First Line	:	2711 IRVIN WAY STE 201
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30030-1724
Country	:	US
Telephone Number	:	916-547-6645
Fax Number	:

Provider Business Practice Location Address
First Line	:	2711 IRVIN WAY STE 201
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30030-1724
Country	:	US
Telephone Number	:	916-547-6645
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2019
Last Update Date	:	01/10/2023

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Directions to “ ANGELIQUE MCAFEE ” Practice Location

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