# AFFIRM HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AFFIRM HEALTHCARE, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356512453
- **Legal business name:** AFFIRM HEALTHCARE, LLC
- **Authorized official:** VICTOR U EBOLUM (ADMINISTRATOR)
- **Authorized official phone:** (972) 681-2207

## Contact information

- **Practice address:** 10950 WOODMEADOW PKWY,, \#223, DALLAS, TN 75228
- **Practice address phone:** (972) 681-2207
- **Practice address fax:** (972) 681-5395
- **Mailing address:** P. O. BOX 571908, DALLAS, TN 75357
- **Mailing address phone:** (972) 681-2207
- **Mailing address fax:** (972) 681-5395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/17/2008
- **Last updated:** 03/17/2008
