# KANATHAN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 3N medstaff
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780077867
- **Authorized official:** MR. NATHAN CADACIO (PRESIDENT)
- **Authorized official phone:** (757) 515-5575

## Contact information

- **Practice address:** 4450 SAINT ANDREWS DR, STOCKTON, CA 95219-1887
- **Practice address phone:** (209) 405-1374
- **Practice address fax:** (209) 808-5239
- **Mailing address:** 4450 SAINT ANDREWS DR, STOCKTON, CA 95219-1887
- **Mailing address phone:** (209) 405-1374
- **Mailing address fax:** (209) 808-5239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1500119404 | CA | Yes |

## Other

- **Enumeration date:** 03/12/2015
- **Last updated:** 03/12/2015