Organization Name: | SANFORD HOME HEALTH |
NPI Number: | 1679572366 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LOIS ELAINE SCHULLER (DIRECTOR) |
Mailing Address: | 2710 W 12th St Sioux Falls |
State: | SD US |
Postal Code: | 571043701 |
Phone Number: | 6053284440 |
Fax Number: | 6053285963 |
NPI Enumeration Date: | 07/15/2005 |
NPI Last Update Date: | 08/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |