Provider Demographics
NPI:1902108087
Name:ANOINTED BLESSING SERVICES
Entity Type:Organization
Organization Name:ANOINTED BLESSING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:J
Authorized Official - Last Name:MAY-ADEYINKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-881-0782
Mailing Address - Street 1:PO BOX 2052
Mailing Address - Street 2:
Mailing Address - City:ALIEF
Mailing Address - State:TX
Mailing Address - Zip Code:77411-2052
Mailing Address - Country:US
Mailing Address - Phone:832-567-6609
Mailing Address - Fax:
Practice Address - Street 1:11936 BELLAIRE BLVD
Practice Address - Street 2:2052
Practice Address - City:ALIEF
Practice Address - State:TX
Practice Address - Zip Code:77411-2052
Practice Address - Country:US
Practice Address - Phone:832-567-6609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-23
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
No302F00000XManaged Care OrganizationsExclusive Provider Organization