Healthcare Provider Details

I. General information

NPI: 1821521204
Provider Name (Legal Business Name): ANRIC ENTERPRISES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2017
Last Update Date: 12/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

907 N TAYLOR RD
BRANDON FL
33510-3121
US

IV. Provider business mailing address

907 N TAYLOR RD
BRANDON FL
33510-3121
US

V. Phone/Fax

Practice location:
  • Phone: 813-476-5253
  • Fax:
Mailing address:
  • Phone: 813-476-5253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberAL12310
License Number StateFL

VIII. Authorized Official

Name: DR. ANITA MELISSA TURNER
Title or Position: ADMINISTRATOR
Credential:
Phone: 813-841-5580