Provider Demographics
NPI:1710850268
Name:SANFORD PL LLC
Entity type:Organization
Organization Name:SANFORD PL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAOUFIK
Authorized Official - Middle Name:
Authorized Official - Last Name:LAHRACHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-202-2539
Mailing Address - Street 1:1704 W 9TH ST
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-2381
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1704 W 9TH ST
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-2381
Practice Address - Country:US
Practice Address - Phone:630-202-2539
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility