Provider Demographics
NPI:1649735440
Name:LEAN ON HIM
Entity Type:Organization
Organization Name:LEAN ON HIM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SABINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-900-3832
Mailing Address - Street 1:3862 BLUE WAVE DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89115-0270
Mailing Address - Country:US
Mailing Address - Phone:813-900-3832
Mailing Address - Fax:
Practice Address - Street 1:3862 BLUE WAVE DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89115-0270
Practice Address - Country:US
Practice Address - Phone:813-900-3832
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-05
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based