Provider Demographics
NPI:1730251729
Name:ANCO HEALTHCARE SERVICES, INC.
Entity type:Organization
Organization Name:ANCO HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:COURTNIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:LITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-330-5360
Mailing Address - Street 1:12 OLD PRESIDIO DR
Mailing Address - Street 2:
Mailing Address - City:MANVEL
Mailing Address - State:TX
Mailing Address - Zip Code:77578-5601
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:281-489-9007
Practice Address - Street 1:12 OLD PRESIDIO DR
Practice Address - Street 2:
Practice Address - City:MANVEL
Practice Address - State:TX
Practice Address - Zip Code:77578-5601
Practice Address - Country:US
Practice Address - Phone:281-330-5360
Practice Address - Fax:281-489-9007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health