Provider Demographics
NPI:1629376132
Name:SANDC, INC
Entity Type:Organization
Organization Name:SANDC, INC
Other - Org Name:SENIOR HELPERS OF EXTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:SLUSARCZYK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-879-6573
Mailing Address - Street 1:256 EAGLEVIEW BLVD
Mailing Address - Street 2:SUITE 263
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-1157
Mailing Address - Country:US
Mailing Address - Phone:484-879-6573
Mailing Address - Fax:484-879-6576
Practice Address - Street 1:256 EAGLEVIEW BLVD
Practice Address - Street 2:SUITE 263
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341
Practice Address - Country:US
Practice Address - Phone:484-879-6573
Practice Address - Fax:484-879-6576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA18293601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1022591900001Medicaid