Organization Name: | AFFORDABLE FAMILY HEALTH CARE INC |
NPI Number: | 1083750889 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBORAH L HENDRIX (CEO) |
Mailing Address: | 19 E 3rd St Grove |
State: | OK US |
Postal Code: | 743447034 |
Phone Number: | 9187869587 |
Fax Number: | 9187869927 |
NPI Enumeration Date: | 01/29/2007 |
NPI Last Update Date: | 01/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R0071124 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |