Provider Demographics
NPI:1386214039
Name:NANA MANAGEMENT SERVICES LLC
Entity Type:Organization
Organization Name:NANA MANAGEMENT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JEANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUENOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-230-9576
Mailing Address - Street 1:800 E DIMOND BLVD STE 3-450
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-2059
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:800 E DIMOND BLVD STE 3-450
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-2059
Practice Address - Country:US
Practice Address - Phone:907-230-9576
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-25
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174200000XOther Service ProvidersMeals
No335G00000XSuppliersMedical Foods Supplier