Ani Assisted Living Facility Limited Liability Company
Assisted Living Facility in Desoto, TX. Organization (NPI-2).
NPI number1295070068
StatusActive
Last updated in NPPESDec 5, 2012
Details
- NPI
- 1295070068
- Entity type
- Organization (NPI-2)
- Legal business name
- Ani Assisted Living Facility Limited Liability Company
- Organization subpart
- No
- Enumeration date
- Dec 5, 2012
- Last updated
- Dec 5, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Practice location
1145 Ranch Valley DrDesoto, TX 75115-3524
Phone 972-228-4100 · Fax 972-228-4100
Mailing address
1145 Ranch Valley DrDesoto, TX 75115-3524
Phone 972-228-4100 · Fax 972-228-4100
Authorized official
Oritsebemigho Edegbele
Administrator
9722284100
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