# YANCA GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003384470
- **Authorized official:** YANESSY CARIDAD SANTIAGO (PRESIDENT)
- **Authorized official phone:** (954) 551-0620

## Contact information

- **Practice address:** 9329 SHERIDAN ST, HOLLYWOOD, FL 33024-8560
- **Practice address phone:** (954) 551-0620
- **Mailing address:** 9329 SHERIDAN ST, HOLLYWOOD, FL 33024-8560
- **Mailing address phone:** (954) 551-0620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 11/05/2018
- **Last updated:** 11/05/2018