| NPI Details | |
|---|---|
| NPI | 1194148544 |
| Enumeration Date | 01/21/2014 |
| Last Updated | 04/15/2014 |
| Entity Type | Healthcare Provider |
| Active | Over 3 years ago |
| Authorized Information | |
|---|---|
| Name | TANYA TANYA |
| Position | ADMINISTRATOR |
| Phone | (618) 258-1500 |
| Fax | (618) 258-1501 |
| Practice Location | |
|---|---|
| 2 TERMINAL DR SUITE 19 EAST ALTON IL, 62024-2201, US |
|
| Phone | (618) 258-1500 |
| Fax | (618) 258-1501 |
| Business Location | |
|---|---|
| 2 TERMINAL DR SUITE 19 EAST ALTON IL, 62024-2201, US |
|
| Phone | (618) 258-1500 |
| Fax | (618) 258-1501 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 251E00000X |
| License State | Illinois |
| License Number | 1011718 |
| Remove 1194148544 NPI Number | |
According to our database, Affiance Home Health Services, Llc NPI is 1194148544, taxonomy code is 251E00000X and license number is 1011718, license state is located at Illinois. Affiance Home Health Services, Llc physically located at 2 Terminal Dr, East Alton IL, 62024-2201. NPI Number 1033115704 has the healthcare provider type.
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1194148544 NPI number is provided on an as is basis without warranty of any kind. 1194148544 is maintained by the National Plan & Provider Enumeration System. The contents of Affiance Home Health Services, Llc are for informational purposes only.
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