Provider Demographics
NPI:1033557749
Name:ANJOS LLC
Entity Type:Organization
Organization Name:ANJOS LLC
Other - Org Name:INTERIM HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ANJOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-530-2301
Mailing Address - Street 1:8 WINDING RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-4379
Mailing Address - Country:US
Mailing Address - Phone:413-530-2301
Mailing Address - Fax:
Practice Address - Street 1:8 WINDING RIDGE LN
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085-4379
Practice Address - Country:US
Practice Address - Phone:413-530-2301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-05
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health