Provider Demographics
NPI:1881387595
Name:S&A ADVISORY GROUP LLC
Entity type:Organization
Organization Name:S&A ADVISORY GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:APARAJITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:REGER-FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-888-1225
Mailing Address - Street 1:1490 S PRICE RD STE 110C
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-6606
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1490 S PRICE RD STE 110C
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-6606
Practice Address - Country:US
Practice Address - Phone:610-888-1225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-30
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health