MEDICARE: SARA A LLANAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346840642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA A LLANAS

Provider Business Mailing Address
First Line	:	1716 MERILINE AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45410-3439
Country	:	US
Telephone Number	:	937-321-8952
Fax Number	:

Provider Business Practice Location Address
First Line	:	1716 MERILINE AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45410-3439
Country	:	US
Telephone Number	:	937-321-8952
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2020
Last Update Date	:	10/27/2020

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Directions to “ SARA A LLANAS ” Practice Location

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