Provider Demographics
NPI:1326364597
Name:AFFORDABLE HOME CARE SERVICE
Entity type:Organization
Organization Name:AFFORDABLE HOME CARE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANTIONETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCARROLL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-643-6382
Mailing Address - Street 1:P. O. BOX 50445
Mailing Address - Street 2:1257 ESLAVA LN
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36605-2352
Mailing Address - Country:US
Mailing Address - Phone:251-643-6382
Mailing Address - Fax:251-607-6371
Practice Address - Street 1:1257 ESLAVA LN
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36605-2352
Practice Address - Country:US
Practice Address - Phone:251-643-6382
Practice Address - Fax:251-607-6371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-13
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL089079251E00000X, 251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care