Provider Demographics
NPI:1306669296
Name:SANGO HUMAN SERVICES LLC
Entity type:Organization
Organization Name:SANGO HUMAN SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:
Authorized Official - Last Name:MUGERWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-620-8337
Mailing Address - Street 1:7439 AUDUBON RUSSET DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-3874
Mailing Address - Country:US
Mailing Address - Phone:346-620-8337
Mailing Address - Fax:832-218-5666
Practice Address - Street 1:7439 AUDUBON RUSSET DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-3874
Practice Address - Country:US
Practice Address - Phone:346-620-8337
Practice Address - Fax:832-218-5666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility