Affinity Care Group, LLC
Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Cordova, TN
NPI 1780165951 · NPPES record last updated Aug 27, 2018
Key facts
- NPI
- 1780165951
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- Legal business name
- AFFINITY CARE GROUP, LLC
- Practice address
- 1951 Chartridge Dr
Cordova, TN 38016-2385 - Phone
- (901) 606-6352
- NPI assigned
- Aug 27, 2018
- Organization subpart
- No
Authorized official
- Name
- Daniel Okemba Okello, BEHAVIOR ANALYST
- Title
- Member
- Phone
- (901) 606-6352
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Yes |
Addresses
Primary practice location
1951 Chartridge Dr
Cordova, TN 38016-2385
Mailing address
1951 Chartridge Dr
Cordova, TN 38016-2385
Phone (901) 606-6352
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.