Provider Demographics
NPI:1679793475
Name:ANNEX CARE SERVICES INC
Entity Type:Organization
Organization Name:ANNEX CARE SERVICES INC
Other - Org Name:ANNEX CARE SERVISES INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:DEANNE
Authorized Official - Middle Name:IDEM
Authorized Official - Last Name:EYO-ITA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-792-7714
Mailing Address - Street 1:9926 CHIMNEY HILL LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-2904
Mailing Address - Country:US
Mailing Address - Phone:972-792-7714
Mailing Address - Fax:972-792-7715
Practice Address - Street 1:9926 CHIMNEY HILL LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-2904
Practice Address - Country:US
Practice Address - Phone:972-792-7714
Practice Address - Fax:972-792-7715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX554346251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health