Provider Demographics
NPI:1487476313
Name:SANNOH'S HEALTHCARE LLC
Entity type:Organization
Organization Name:SANNOH'S HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRESIDENT, ADMIN, RN
Authorized Official - Prefix:
Authorized Official - First Name:MATENAH
Authorized Official - Middle Name:H
Authorized Official - Last Name:SANNOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-257-9004
Mailing Address - Street 1:6001 OTTERBEIN LN APT 410
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-7624
Mailing Address - Country:US
Mailing Address - Phone:302-257-9004
Mailing Address - Fax:
Practice Address - Street 1:6001 OTTERBEIN LN APT 410
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-7624
Practice Address - Country:US
Practice Address - Phone:302-257-9004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health