Individual provider · NPI-1
Alpha Elliott Anthamatten
Foster Care Agency · Abilene, TX
NPI number1104199900
StatusActive
Last updated in NPPESDec 14, 2015
Details
- NPI
- 1104199900
- Entity type
- Individual (NPI-1)
- Name
- Alpha Elliott Anthamatten
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 10, 2012
- Last updated
- Dec 14, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253J00000X | Foster Care Agency | – | – | Yes |
Other names
- Alpha Elliott Quinn (Former Name)
Practice location
1306 Buccaneer DrAbilene, TX 79605-3735
Phone 325-695-1745 · Fax 325-695-1745
Mailing address
1306 Buccaneer DrAbilene, TX 79605-3735
Phone 325-695-1745 · Fax 325-695-1745
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