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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
250 INTERNATIONAL PKWY STE 134, HEATHROW, FL 32746-5044
(850) 765-5241
(360) 933-2951
Mailing address
1584 METROPOLITAN BLVD STE 101, TALLAHASSEE, FL 32308-1701
(850) 765-5241
(360) 933-2951

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
234961
FL
372600000X
Adult Companion
376J00000X
Homemaker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
233632
FL
05
234961
FL
05
234962
FL
Enumeration date
01/25/2018
Last updated
05/03/2022
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