Provider Demographics
NPI:1841016565
Name:AFFINITY COMMUNITY CARE INC.
Entity type:Organization
Organization Name:AFFINITY COMMUNITY CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:PILOUZOUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-838-6764
Mailing Address - Street 1:19016 MCFARLIN DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-1436
Mailing Address - Country:US
Mailing Address - Phone:240-838-6764
Mailing Address - Fax:
Practice Address - Street 1:19619 GALWAY BAY CIR APT 402
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-4610
Practice Address - Country:US
Practice Address - Phone:240-838-6764
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-26
Last Update Date:2024-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health