Provider Demographics
NPI:1396425286
Name:A F GROUP MANAGEMENT CO
Entity type:Organization
Organization Name:A F GROUP MANAGEMENT CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXIS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:225-363-0118
Mailing Address - Street 1:14353 BLUFF PASS DR
Mailing Address - Street 2:
Mailing Address - City:PRAIRIEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70769-3287
Mailing Address - Country:US
Mailing Address - Phone:225-363-0118
Mailing Address - Fax:
Practice Address - Street 1:14353 BLUFF PASS DR
Practice Address - Street 2:
Practice Address - City:PRAIRIEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70769-3287
Practice Address - Country:US
Practice Address - Phone:225-363-0118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-24
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)