Healthcare Provider Details
I. General information
NPI: 1669298709
Provider Name (Legal Business Name): SANGTUM INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/22/2024
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
47 MARCHWOOD RD STE 2A-8
EXTON PA
19341-1852
US
IV. Provider business mailing address
47 MARCHWOOD RD STE 2A-8
EXTON PA
19341-1852
US
V. Phone/Fax
- Phone: 302-584-5277
- Fax:
- Phone: 302-584-5277
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
ROSETA
S
ADE
Title or Position: PRESIDENT
Credential:
Phone: 302-584-5277