Provider Demographics
NPI:1881128452
Name:ANNACARE, LLC
Entity type:Organization
Organization Name:ANNACARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLARE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-444-1978
Mailing Address - Street 1:213 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-3111
Mailing Address - Country:US
Mailing Address - Phone:610-444-1978
Mailing Address - Fax:610-444-3730
Practice Address - Street 1:213 E STATE ST
Practice Address - Street 2:
Practice Address - City:KENNETT SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348-3111
Practice Address - Country:US
Practice Address - Phone:610-444-1978
Practice Address - Fax:610-444-3730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-20
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care