Provider Demographics
NPI:1457608978
Name:AMANDOLE HCS, LLC
Entity Type:Organization
Organization Name:AMANDOLE HCS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:S
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-878-8065
Mailing Address - Street 1:216 RUSTIC OAKS DR
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-1774
Mailing Address - Country:US
Mailing Address - Phone:832-878-8065
Mailing Address - Fax:281-786-4012
Practice Address - Street 1:216 RUSTIC OAKS DR
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-1774
Practice Address - Country:US
Practice Address - Phone:832-878-8065
Practice Address - Fax:281-786-4012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-14
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management