Provider Demographics
NPI:1457015471
Name:SALEEN
Entity type:Organization
Organization Name:SALEEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:SAJA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBANWAWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-595-2369
Mailing Address - Street 1:1824 NEST PL
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-6033
Mailing Address - Country:US
Mailing Address - Phone:972-595-2369
Mailing Address - Fax:
Practice Address - Street 1:1824 NEST PL
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-6033
Practice Address - Country:US
Practice Address - Phone:972-595-2369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-26
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services