Provider Demographics
NPI:1942541719
Name:ANI PERSONAL ASSISTANCE SERVICES AGENCY LTD CO
Entity Type:Organization
Organization Name:ANI PERSONAL ASSISTANCE SERVICES AGENCY LTD CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ORITSEBEMIGHO
Authorized Official - Middle Name:
Authorized Official - Last Name:EDEGBELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-228-4100
Mailing Address - Street 1:1145 RANCH VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-3524
Mailing Address - Country:US
Mailing Address - Phone:972-228-4100
Mailing Address - Fax:972-228-4100
Practice Address - Street 1:1145 RANCH VALLEY DR
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-3524
Practice Address - Country:US
Practice Address - Phone:972-228-4100
Practice Address - Fax:972-228-4100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-04
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health