Organization
AFNB HOME CARE LLC
Active
Other names
A First Name Basis Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN FACKRELL (CEO)
(337) 233-4778
Entity
Organization
Contact information
Practice address
425 W AIRLINE HWY STE N, LA PLACE, LA 70068-3818
(985) 359-4000
(985) 837-2008
Mailing address
PO BOX 60366, LAFAYETTE, LA 70596-0366
(985) 359-4000
(985) 837-2008
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC0012511
DHH HEALTH STANDARDS SECTION
LA
Enumeration date
09/04/2019
Last updated
01/16/2024
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