MEDICARE: SANIS CLEANING SERVICE

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1639746167
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANIS CLEANING SERVICE

Provider Business Mailing Address
First Line	:	3616 SW 13TH CT
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-3561
Country	:	US
Telephone Number	:	954-348-2430
Fax Number	:

Provider Business Practice Location Address
First Line	:	3616 SW 13TH CT
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-3561
Country	:	US
Telephone Number	:	954-348-2430
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MICHELLE BLAKE
Credential	:
Telephone Number	:	954-348-2430

Provider Enumeration Date	:	06/03/2021
Last Update Date	:	06/03/2021

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Directions to “SANIS CLEANING SERVICE ” Practice Location

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