Provider Demographics
NPI:1639404460
Name:ANKURA INVESTMENTS, INC
Entity Type:Organization
Organization Name:ANKURA INVESTMENTS, INC
Other - Org Name:NORA LANE RESIDENTIAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MCKENZIE
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:972-897-7568
Mailing Address - Street 1:740 NORA LN
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-5520
Mailing Address - Country:US
Mailing Address - Phone:469-297-4475
Mailing Address - Fax:469-297-4475
Practice Address - Street 1:740 NORA LN
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-5520
Practice Address - Country:US
Practice Address - Phone:469-297-4475
Practice Address - Fax:469-297-4475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-13
Last Update Date:2009-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities