# ANTHEM SENIOR CARE SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932404563
- **Authorized official:** MR. CHRISTOPHER J GUILIANELLE (PRESIDENT/CFO)
- **Authorized official phone:** (361) 643-2323

## Contact information

- **Practice address:** 604 MOORE AVE, PORTLAND, TX 78374-1608
- **Practice address phone:** (361) 643-2323
- **Practice address fax:** (361) 643-1212
- **Mailing address:** 604 MOORE AVE, PORTLAND, TX 78374-1608
- **Mailing address phone:** (361) 643-2323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | PENDING | TX | Yes |

## Other

- **Enumeration date:** 01/12/2011
- **Last updated:** 12/20/2012