Provider Demographics
NPI:1306979513
Name:SANVIG ENTERPRISES, INC
Entity type:Organization
Organization Name:SANVIG ENTERPRISES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:SANVIG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:641-257-3003
Mailing Address - Street 1:801 BLUNT PKWY
Mailing Address - Street 2:SUITE 39
Mailing Address - City:CHARLES CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50616-2205
Mailing Address - Country:US
Mailing Address - Phone:641-257-3003
Mailing Address - Fax:641-257-3038
Practice Address - Street 1:801 BLUNT PKWY
Practice Address - Street 2:SUITE 39
Practice Address - City:CHARLES CITY
Practice Address - State:IA
Practice Address - Zip Code:50616-2205
Practice Address - Country:US
Practice Address - Phone:641-257-3003
Practice Address - Fax:641-257-3038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAS0083310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility