Organization
AFFINITY CARE PROVIDERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STARLETTE SABRINA GORDON (ADM.)
(225) 869-6005
Entity
Organization
Contact information
Practice address
837 N. PINE STREET STE. C, GRAMERCY, LA 70052
(225) 869-6005
(225) 869-6007
Mailing address
P O BOX 580, GRAMERCY, LA 70052
(225) 869-6005
(225) 869-6007
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
1509442
LA
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1509442
—
LA
Enumeration date
12/27/2007
Last updated
11/08/2018
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