Healthcare Provider Details

I. General information

NPI: 1548421274
Provider Name (Legal Business Name): SANA HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2008
Last Update Date: 11/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 FORT ST
TRENTON MI
48183-4602
US

IV. Provider business mailing address

25950 MERIDIAN RD
GROSSE ILE MI
48138-1631
US

V. Phone/Fax

Practice location:
  • Phone: 734-479-8000
  • Fax: 734-479-4812
Mailing address:
  • Phone: 734-479-8000
  • Fax: 734-479-4812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number824050
License Number StateMI

VIII. Authorized Official

Name: DR. IQBAL A NASIR
Title or Position: PRESIDENT
Credential: MD
Phone: 734-479-8000