Provider Demographics
NPI:1841755345
Name:SAMAL FOUNDATION
Entity type:Organization
Organization Name:SAMAL FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MAN
Authorized Official - Middle Name:B
Authorized Official - Last Name:MAGAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-752-6703
Mailing Address - Street 1:3129 N 93RD ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68134-4717
Mailing Address - Country:US
Mailing Address - Phone:585-752-6703
Mailing Address - Fax:402-671-7761
Practice Address - Street 1:3129 N 93RD ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68134-4717
Practice Address - Country:US
Practice Address - Phone:585-752-6703
Practice Address - Fax:402-671-7761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-08
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health