Organization
AFNB HOME CARE LLC
Active
Other names
A First Name Basis Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
JAKE FACKRELL (CEO)
(337) 233-4778
Entity
Organization
Contact information
Practice address
1011 N CAUSEWAY BLVD STE 30, MANDEVILLE, LA 70471-3277
(985) 845-4701
(985) 237-6047
Mailing address
PO BOX 60366, LAFAYETTE, LA 70596-0366
(337) 233-4778
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
2203782464
LA
Other
Enumeration date
10/28/2015
Last updated
07/22/2022
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