Provider Demographics
NPI:1619296100
Name:A SPECIAL WORLD, LLC
Entity Type:Organization
Organization Name:A SPECIAL WORLD, LLC
Other - Org Name:ANGELWORKS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KEESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-296-0234
Mailing Address - Street 1:936 ROCK CANYON DR
Mailing Address - Street 2:
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75137-2946
Mailing Address - Country:US
Mailing Address - Phone:469-449-9922
Mailing Address - Fax:469-449-9922
Practice Address - Street 1:936 ROCK CANYON DR
Practice Address - Street 2:
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75137-2946
Practice Address - Country:US
Practice Address - Phone:469-449-9922
Practice Address - Fax:469-449-9922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-23
Last Update Date:2010-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management