Provider Demographics
NPI:1235911173
Name:ANE HOME HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:ANE HOME HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:FONJWENG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-494-4595
Mailing Address - Street 1:21322 OPEN SHORE DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-5341
Mailing Address - Country:US
Mailing Address - Phone:302-494-4595
Mailing Address - Fax:
Practice Address - Street 1:21322 OPEN SHORE DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-5341
Practice Address - Country:US
Practice Address - Phone:302-494-4595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health