Provider Demographics
NPI:1043918659
Name:MANSACH ENTERPRISES LLC
Entity Type:Organization
Organization Name:MANSACH ENTERPRISES LLC
Other - Org Name:EURO THERAPIES INTENSIVE PT
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGHMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-857-6776
Mailing Address - Street 1:3000 CENTERPOINT PKWY
Mailing Address - Street 2:
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48341-3116
Mailing Address - Country:US
Mailing Address - Phone:248-857-6776
Mailing Address - Fax:248-857-7102
Practice Address - Street 1:3000 CENTERPOINT PKWY
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48341-3116
Practice Address - Country:US
Practice Address - Phone:248-857-6776
Practice Address - Fax:248-857-7102
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MANSACH ENTERPRISES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-02-22
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy