Amen Personal Caregiver

NPI #1609653765 in Anna, Texas

Provider Information

NPI Number: 1609653765
Entity Type: Organization
Organization Name: Amen Personal Caregiver
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Sep 12, 2023
Last Updated: Sep 12, 2023

Practice Location

Address: 1233 TIANA STREET
City: Anna
State: Texas
ZIP Code: 75409-1248
Phone: (401) 282-0856

Authorized Official

Name: MR. SIMON OLUGBENGA ADEYEMI
Title: ADMINISTRATOR
Phone: (401) 282-0856

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X
Supports Brokerage	251X00000X
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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