Provider Demographics
NPI:1447542196
Name:AFYA HEALTH NETWORK
Entity type:Organization
Organization Name:AFYA HEALTH NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SERVICE SUPERVISOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:LORRAINE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:910-486-9500
Mailing Address - Street 1:930 CAMBRIDGE ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-9625
Mailing Address - Country:US
Mailing Address - Phone:910-486-9500
Mailing Address - Fax:910-488-8400
Practice Address - Street 1:930 CAMBRIDGE ST
Practice Address - Street 2:SUITE 105
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-9625
Practice Address - Country:US
Practice Address - Phone:910-486-9500
Practice Address - Fax:910-488-8400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-12
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health