Provider Demographics
NPI:1265207161
Name:NANZA HEALTH CARE LLC
Entity type:Organization
Organization Name:NANZA HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SOLAMIC
Authorized Official - Middle Name:
Authorized Official - Last Name:ANU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-377-8528
Mailing Address - Street 1:1389 SPAGNOL LN
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-7528
Mailing Address - Country:US
Mailing Address - Phone:614-377-8528
Mailing Address - Fax:
Practice Address - Street 1:1389 SPAGNOL LN
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-7528
Practice Address - Country:US
Practice Address - Phone:614-377-8528
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health