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NPI Code Detail

MEDICARE: AFFINITY CARE, LLC

MEDICARE: AFFINITY 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
1251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1922618636
Entity Type Code : Organization
Provider Name (Legal Business Name) : AFFINITY CARE, LLC
Provider Business Mailing Address
First Line : PO BOX 910496
Second Line :
City : ST GEORGE
State : UT
Zip : 84791-0496
Country : US
Telephone Number : 435-215-9509
Fax Number :
Provider Business Practice Location Address
First Line : 437 S BLUFF ST STE 301
Second Line :
City : ST GEORGE
State : UT
Zip : 84770-3591
Country : US
Telephone Number : 435-215-9509
Fax Number :
Authorized Official
Title or Position : COO
Name : JENNIFER PARRY
Credential :
Telephone Number : 435-263-1622
Provider Enumeration Date : 08/06/2020
Last Update Date : 08/02/2022

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Directions to “AFFINITY CARE, LLC ” Practice Location

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