Provider Demographics
NPI:1205000486
Name:MICHAEL D SANTONE,LLC
Entity Type:Organization
Organization Name:MICHAEL D SANTONE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:SANTONE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:985-781-0548
Mailing Address - Street 1:313 FLORIDA BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-1805
Mailing Address - Country:US
Mailing Address - Phone:985-781-0548
Mailing Address - Fax:
Practice Address - Street 1:313 FLORIDA BLVD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70124-1805
Practice Address - Country:US
Practice Address - Phone:985-781-0548
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-17
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty