Provider Demographics
NPI:1326058280
Name:SANDRA'S NURSING SERVICES,L.L.C.
Entity Type:Organization
Organization Name:SANDRA'S NURSING SERVICES,L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:TREASE
Authorized Official - Last Name:ROUSE
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:301-330-9155
Mailing Address - Street 1:7411 LINDBERGH DR STE A
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20879-5416
Mailing Address - Country:US
Mailing Address - Phone:301-330-9155
Mailing Address - Fax:301-330-9155
Practice Address - Street 1:7411 LINDBERGH DR STE A
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20879-5416
Practice Address - Country:US
Practice Address - Phone:301-330-9155
Practice Address - Fax:301-330-9155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR132785251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services