Provider Demographics
NPI:1811438930
Name:SANAN LLC
Entity type:Organization
Organization Name:SANAN LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HENRI
Authorized Official - Middle Name:
Authorized Official - Last Name:SANAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-910-1391
Mailing Address - Street 1:6233 BANKERS RD
Mailing Address - Street 2:SUITE 18-E
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:WI
Mailing Address - Zip Code:53403-9700
Mailing Address - Country:US
Mailing Address - Phone:262-910-1391
Mailing Address - Fax:262-208-5254
Practice Address - Street 1:6233 BANKERS RD
Practice Address - Street 2:SUITE 18-E
Practice Address - City:MOUNT PLEASANT
Practice Address - State:WI
Practice Address - Zip Code:53403-9700
Practice Address - Country:US
Practice Address - Phone:262-910-1391
Practice Address - Fax:262-208-5254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-09
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health