Organization
SANDTON ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NGEREM (CEO)
(813) 506-3137
Entity
Organization
Contact information
Practice address
10539 PARKCREST DR, TAMPA, FL 33624-5023
(813) 506-3137
(813) 699-8307
Mailing address
10539 PARKCREST DR, TAMPA, FL 33624-5023
(813) 506-3137
(813) 699-8307
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
234695
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690976196
—
FL
Enumeration date
03/08/2017
Last updated
03/08/2017
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