Organization
ANTHEM SENIOR CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER J GUILIANELLE (PRESIDENT/CFO)
(361) 643-2323
Entity
Organization
Contact information
Practice address
604 MOORE AVE, PORTLAND, TX 78374-1608
(361) 643-2323
(361) 643-1212
Mailing address
604 MOORE AVE, PORTLAND, TX 78374-1608
(361) 643-2323
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
PENDING
TX
Other
Enumeration date
01/12/2011
Last updated
12/20/2012
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