MEDICARE: ANOINTED INDIVIDUALS4CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	253J00000X	Foster Care Agency
3	261QA0600X	Adult Day Care Clinic/Center
4	261QM0850X	Adult Mental Health Clinic/Center
5	320800000X	Mental Illness Community Based Residential Treatment Facility
6	322D00000X	Emotionally Disturbed Childrens' Residential Treatment Facility
7	324500000X	Substance Abuse Rehabilitation Facility
8	3104A0625X	Assisted Living Facility (Mental Illness)

General Provider Information

NPI Number	:	1346843133
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANOINTED INDIVIDUALS4CARE

Provider Business Mailing Address
First Line	:	3711 WILLOW SPRINGS DR
Second Line	:
City	:	MANVEL
State	:	TX
Zip	:	77578-4787
Country	:	US
Telephone Number	:	832-339-7951
Fax Number	:

Provider Business Practice Location Address
First Line	:	3711 WILLOW SPRINGS DR
Second Line	:
City	:	MANVEL
State	:	TX
Zip	:	77578-4787
Country	:	US
Telephone Number	:	832-339-7951
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	YOLANDA KENT
Credential	:
Telephone Number	:	832-339-7951

Provider Enumeration Date	:	11/16/2020
Last Update Date	:	11/16/2020

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Directions to “ANOINTED INDIVIDUALS4CARE ” Practice Location

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