Organization
AFFINITY CARE SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SELENTRIA MIGNON KENDRICK MS (OWNER/CARE MANAGER)
(478) 256-5143
Entity
Organization
Contact information
Practice address
564 ROGERS DR, MACON, GA 31204-1740
(478) 256-5143
Mailing address
PO BOX 13778, MACON, GA 31208-3778
(478) 256-5143
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
251B00000X
Case Management Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
055701657
DRIVERS LICENSE
GA
Enumeration date
02/12/2018
Last updated
06/16/2018
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