Provider Demographics
NPI:1902351463
Name:AFFABLE HEALTHCARE SERVICES INC.
Entity type:Organization
Organization Name:AFFABLE HEALTHCARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OMOLAYO
Authorized Official - Middle Name:O
Authorized Official - Last Name:AYENI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-755-8104
Mailing Address - Street 1:10935 ESTATE LN
Mailing Address - Street 2:S-435
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-2316
Mailing Address - Country:US
Mailing Address - Phone:469-334-4255
Mailing Address - Fax:469-270-1515
Practice Address - Street 1:10935 ESTATE LN
Practice Address - Street 2:S-435
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-2316
Practice Address - Country:US
Practice Address - Phone:469-334-4255
Practice Address - Fax:469-270-1515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-24
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX016347253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care