Provider Demographics
NPI:1699105486
Name:STANDANI, LLC
Entity type:Organization
Organization Name:STANDANI, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEARING AID FITTER AND DISPENSER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:D
Authorized Official - Last Name:STANFORD
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSED PRACTITIONE
Authorized Official - Phone:903-670-1290
Mailing Address - Street 1:603 S PALESTINE ST
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:TX
Mailing Address - Zip Code:75751-3322
Mailing Address - Country:US
Mailing Address - Phone:903-670-1290
Mailing Address - Fax:
Practice Address - Street 1:603 S PALESTINE ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TX
Practice Address - Zip Code:75751-3322
Practice Address - Country:US
Practice Address - Phone:903-670-1290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-15
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty