Provider Demographics
NPI:1346677861
Name:VANSAKY NURSING CONSULTANTS AND MEDICAL SUPPLY LLC
Entity Type:Organization
Organization Name:VANSAKY NURSING CONSULTANTS AND MEDICAL SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:OSAWE-PETIT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:770-873-0888
Mailing Address - Street 1:3379 PEACHTREE RD NE
Mailing Address - Street 2:SUITE 550
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-1031
Mailing Address - Country:US
Mailing Address - Phone:404-974-9528
Mailing Address - Fax:404-974-9529
Practice Address - Street 1:3379 PEACHTREE RD NE
Practice Address - Street 2:SUITE 550
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-1031
Practice Address - Country:US
Practice Address - Phone:404-974-9528
Practice Address - Fax:404-974-9529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-29
Last Update Date:2013-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN195140251F00000X, 251J00000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251F00000XAgenciesHome Infusion
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies