Provider Demographics
NPI:1720480809
Name:SANGFROID GROUP INC
Entity Type:Organization
Organization Name:SANGFROID GROUP INC
Other - Org Name:SANGFROID HEALTHCARE AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:AFIA
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RN
Authorized Official - Phone:678-896-1744
Mailing Address - Street 1:14057 6TH AVE S
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98168-3522
Mailing Address - Country:US
Mailing Address - Phone:253-345-1550
Mailing Address - Fax:
Practice Address - Street 1:14057 6TH AVE S
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98168-3522
Practice Address - Country:US
Practice Address - Phone:253-345-1550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-21
Last Update Date:2014-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603385726251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health