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Organization

AFFINITY CARE PROVIDERS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. STARLETTE SABRINA GORDON (ADM.)
(225) 869-6005
Entity
Organization

Contact information

Practice address
837 N. PINE STREET STE.C, GRAMERCY, LA 70052
(225) 869-6005
(225) 869-6007
Mailing address
P O BOX 580, GRAMERCY, LA 70052
(225) 869-6005
(225) 869-6007

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
1720739
LA
3747P1801X
Personal Care Attendant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1720739
LA
Enumeration date
12/27/2007
Last updated
11/08/2018
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