Doctor Name: | MR. IAN R SANDERS |
NPI Number: | 1093180721 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 1720 Main St N Allendale, SC - 298102904 |
Business Phone Number: | 8037160727 |
Business Fax Number: | |
Mailing Address: | Po Box 671, ALLENDALE |
State: | SC |
Postal Code: | 298100671 |
Phone Number: | 8037160727 |
Fax Number: | |
NPI Enumeration Date: | 12/07/2015 |
NPI Last Update Date: | 01/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |