Provider Demographics
NPI:1811707771
Name:FAFFY QUALITY HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:FAFFY QUALITY HOME CARE SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:OLUSESAN.
Authorized Official - Middle Name:A
Authorized Official - Last Name:FAFIOLU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-216-0083
Mailing Address - Street 1:4811 JONESTOWN RD STE 226A
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17109-1745
Mailing Address - Country:US
Mailing Address - Phone:717-216-0083
Mailing Address - Fax:
Practice Address - Street 1:4811 JONESTOWN RD STE 226A
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17109-1745
Practice Address - Country:US
Practice Address - Phone:717-216-0083
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-11
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty