Provider Demographics
NPI:1932982576
Name:MYNAC GROUP, LLC
Entity type:Organization
Organization Name:MYNAC GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATTHIAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:SEISAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-201-3500
Mailing Address - Street 1:2917 CHEVERLY OAK CT
Mailing Address - Street 2:
Mailing Address - City:CHEVERLY
Mailing Address - State:MD
Mailing Address - Zip Code:20785-3159
Mailing Address - Country:US
Mailing Address - Phone:301-201-3500
Mailing Address - Fax:
Practice Address - Street 1:2917 CHEVERLY OAK CT
Practice Address - Street 2:
Practice Address - City:CHEVERLY
Practice Address - State:MD
Practice Address - Zip Code:20785-3159
Practice Address - Country:US
Practice Address - Phone:301-201-3500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty