Healthcare Provider Details

I. General information

NPI: 1023132966
Provider Name (Legal Business Name): SANAGA SERVICES AND CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1943 BENNETT PL NE
WASHINGTON DC
20002-4113
US

IV. Provider business mailing address

1943 BENNETT PL NE
WASHINGTON DC
20002-4113
US

V. Phone/Fax

Practice location:
  • Phone: 202-341-8888
  • Fax: 202-747-3733
Mailing address:
  • Phone: 202-341-8888
  • Fax: 202-747-3733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number1120
License Number StateDC

VIII. Authorized Official

Name: MR. ANATOLE D NYEMECK
Title or Position: PRINCIPAL
Credential:
Phone: 202-341-8888