Provider Demographics
NPI:1346880846
Name:SEWAA LL.C
Entity Type:Organization
Organization Name:SEWAA LL.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MAN
Authorized Official - Middle Name:B
Authorized Official - Last Name:MAGAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:585-752-6703
Mailing Address - Street 1:39 RAINIER ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14613-2309
Mailing Address - Country:US
Mailing Address - Phone:585-752-6703
Mailing Address - Fax:
Practice Address - Street 1:39 RAINIER ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14613-2309
Practice Address - Country:US
Practice Address - Phone:585-752-6703
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-13
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health