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Organization

AFFINITY HOME CARE AGENCY, INC.

Active
Parent organization
AFFINITY HOME CARE AGENCY, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
AFFINITY HOME CARE AGENCY, INC.
Authorized official
MERLENE DELOIS JOHNSON MASTERS OF BUSINESS (DIRECTOR)
(850) 765-5241
Entity
Organization

Contact information

Practice address
1731 NW 6TH ST STE A2, GAINESVILLE, FL 32609-8515
(850) 345-4806
(360) 933-2951
Mailing address
1584 METROPOLITAN BLVD STE 101, TALLAHASSEE, FL 32308-1701
(850) 765-5241

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
372600000X
Adult Companion
376J00000X
Homemaker
Primary
233632
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005820000
FL
05
005820001
FL
05
115511700
FL
Enumeration date
04/09/2015
Last updated
03/08/2023
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