Provider Demographics
NPI:1053852350
Name:SARGAI
Entity type:Organization
Organization Name:SARGAI
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MACK
Authorized Official - Middle Name:M
Authorized Official - Last Name:FISKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-679-0066
Mailing Address - Street 1:117 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-3512
Mailing Address - Country:US
Mailing Address - Phone:610-679-0066
Mailing Address - Fax:
Practice Address - Street 1:117 JACKSON ST
Practice Address - Street 2:117JACKSON STREET
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-3512
Practice Address - Country:US
Practice Address - Phone:610-679-0066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-20
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health