Organization
AFFINITY HOME CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOSEPHINE JOHNSON HAWKINS R.N. (EXECUTIVE DIRECTOR)
(318) 336-3300
Entity
Organization
Contact information
Practice address
205 CARTER ST, VIDALIA, LA 71373-3303
(318) 336-3300
(318) 336-9005
Mailing address
PO BOX 1215, VIDALIA, LA 71373-1215
(318) 336-3300
(318) 336-9005
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
15521
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2166867
—
LA
Enumeration date
12/16/2011
Last updated
12/16/2011
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