Provider Demographics
NPI:1831933621
Name:ANCO GROUP SERVICES INC
Entity type:Organization
Organization Name:ANCO GROUP SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTIANA
Authorized Official - Middle Name:OKWUDIRI
Authorized Official - Last Name:NDULAKA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-417-8629
Mailing Address - Street 1:7118 ROCKY RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3856
Mailing Address - Country:US
Mailing Address - Phone:713-714-8169
Mailing Address - Fax:
Practice Address - Street 1:10101 HARWIN DR STE 210
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-1740
Practice Address - Country:US
Practice Address - Phone:832-417-8629
Practice Address - Fax:832-203-8710
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANCO GROUP SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities