Organization
AFFINITY HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA CARTER (ADMINISTRATOR)
(228) 233-3574
Entity
Organization
Contact information
Practice address
1822 15TH ST, SUITE 8, GULFPORT, MS 39501
(228) 233-3574
(228) 233-3576
Mailing address
1822 15TH ST, SUITE 8, GULFPORT, MS 39501
(228) 233-3574
(228) 233-3576
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1186848
BUISNESS ID
MS
Enumeration date
10/15/2019
Last updated
05/19/2020
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