Provider Demographics
NPI:1962795831
Name:AMNA HEALTHCARE SERVICES, INC.
Entity type:Organization
Organization Name:AMNA HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEANNEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-818-9797
Mailing Address - Street 1:12811 KENWOOD LN
Mailing Address - Street 2:201
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-5667
Mailing Address - Country:US
Mailing Address - Phone:239-936-4089
Mailing Address - Fax:239-936-4026
Practice Address - Street 1:12811 KENWOOD LN
Practice Address - Street 2:201
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-5667
Practice Address - Country:US
Practice Address - Phone:239-936-4089
Practice Address - Fax:239-936-4026
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMNA HEALTHCARE SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-05-25
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health