Provider Demographics
NPI:1457727059
Name:ANOINTED CARE AGENCY, LLC
Entity Type:Organization
Organization Name:ANOINTED CARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE
Authorized Official - Prefix:
Authorized Official - First Name:TEEAH
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:786-554-4988
Mailing Address - Street 1:8203 S PALM DR
Mailing Address - Street 2:244
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33025-4593
Mailing Address - Country:US
Mailing Address - Phone:786-554-4988
Mailing Address - Fax:
Practice Address - Street 1:8203 S PALM DR
Practice Address - Street 2:244
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33025-4593
Practice Address - Country:US
Practice Address - Phone:786-554-4988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-18
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9276879251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care