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
5220 RUE VERDUN STE A, ALEXANDRIA, LA 71303-2578
(318) 640-7440
Mailing address
PO BOX 60366, LAFAYETTE, LA 70596-0366
(337) 210-3355
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1170836
—
LA
Enumeration date
04/03/2007
Last updated
07/25/2022
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