Provider Demographics
NPI:1346776689
Name:ANOINTED RESTORATIVE KARE SERVICES
Entity Type:Organization
Organization Name:ANOINTED RESTORATIVE KARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DARRYL
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:CROSBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-431-1684
Mailing Address - Street 1:1034 E 25TH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16503-2309
Mailing Address - Country:US
Mailing Address - Phone:814-431-1684
Mailing Address - Fax:
Practice Address - Street 1:1034 E 25TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16503-2309
Practice Address - Country:US
Practice Address - Phone:814-431-1684
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-05
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care