Healthcare Provider Details

I. General information

NPI: 1922187772
Provider Name (Legal Business Name): SNCH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 N SUNKIST ST
ANAHEIM CA
92806
US

IV. Provider business mailing address

561 SO COLT ST
ANAHEIM CA
92806
US

V. Phone/Fax

Practice location:
  • Phone: 714-491-0455
  • Fax: 714-635-3842
Mailing address:
  • Phone: 714-772-7298
  • Fax: 714-635-3842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. LAURA L RUBIO
Title or Position: LICENSEE
Credential:
Phone: 714-772-7298