Provider Demographics
NPI:1346618576
Name:ANNS DREAM HEALTH CARE LLC
Entity Type:Organization
Organization Name:ANNS DREAM HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:D'ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCINTYRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-258-7114
Mailing Address - Street 1:389 CARR MANOR CT
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63021-3304
Mailing Address - Country:US
Mailing Address - Phone:314-258-7114
Mailing Address - Fax:636-543-9773
Practice Address - Street 1:389 CARR MANOR CT
Practice Address - Street 2:
Practice Address - City:BALLWIN
Practice Address - State:MO
Practice Address - Zip Code:63021-3304
Practice Address - Country:US
Practice Address - Phone:314-258-7114
Practice Address - Fax:636-543-9773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-03
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care