Provider Demographics
NPI:1649769183
Name:ANISCOOL, LLC
Entity Type:Organization
Organization Name:ANISCOOL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ENAGNON
Authorized Official - Middle Name:ANICET
Authorized Official - Last Name:SENOU-VODJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-219-9549
Mailing Address - Street 1:7967 RIGGS RD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-4573
Mailing Address - Country:US
Mailing Address - Phone:833-264-7266
Mailing Address - Fax:833-264-7266
Practice Address - Street 1:7967 RIGGS RD
Practice Address - Street 2:SUITE 9
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-4573
Practice Address - Country:US
Practice Address - Phone:833-264-7266
Practice Address - Fax:833-264-7266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-09
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)