Provider Demographics
NPI:1043936115
Name:SUSTAINERS HEALTHCARE LLC
Entity Type:Organization
Organization Name:SUSTAINERS HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BEZANKENG
Authorized Official - Middle Name:
Authorized Official - Last Name:WANATU
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:614-500-9676
Mailing Address - Street 1:6432 COLD MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-0027
Mailing Address - Country:US
Mailing Address - Phone:614-500-9676
Mailing Address - Fax:
Practice Address - Street 1:6432 COLD MOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-0027
Practice Address - Country:US
Practice Address - Phone:614-500-9676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health