1477949030 NPI number — AEF HOLDINGS, INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477949030 NPI number — AEF HOLDINGS, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AEF HOLDINGS, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
COMFORT KEEPERS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477949030
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/10/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
106 STONE CROP RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WILMINGTON
Provider Business Mailing Address State Name:
DE
Provider Business Mailing Address Postal Code:
19810-1318
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
856-582-1054
Provider Business Mailing Address Fax Number:
856-582-1064

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
450 ANDBRO DR UNIT 4
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITMAN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08071-1274
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-582-1054
Provider Business Practice Location Address Fax Number:
856-582-1064
Provider Enumeration Date:
04/10/2015

Additional Information

Authorized Official

Authorized Official Last Name:
FANNAN
Authorized Official First Name:
ANNE
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
856-582-1054

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  HP0148700 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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