MEDICARE: AN TOAN SAFETY, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1083078497
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AN TOAN SAFETY, LLC

Provider Business Mailing Address
First Line	:	12938 LIMA DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77099-1123
Country	:	US
Telephone Number	:	774-641-0138
Fax Number	:

Provider Business Practice Location Address
First Line	:	5556 NEW TERRITORY BLVD
Second Line	:	APT 9204
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-6546
Country	:	US
Telephone Number	:	774-641-0138
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	THIEN AN DAO NGUYEN
Credential	:
Telephone Number	:	774-641-0138

Provider Enumeration Date	:	04/12/2016
Last Update Date	:	04/12/2016

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