Healthcare Provider Details
I. General information
NPI: 1184917460
Provider Name (Legal Business Name): SNELL BEST CARE SENIOR SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/19/2011
Last Update Date: 05/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9002 SE BRIDGE RD
HOBE SOUND FL
33455-5324
US
IV. Provider business mailing address
9002 SE BRIDGE RD
HOBE SOUND FL
33455-5324
US
V. Phone/Fax
- Phone: 772-205-3888
- Fax: 772-205-3825
- Phone: 772-205-3888
- Fax: 772-205-3825
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | 299993776 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | 299993776 |
| License Number State | FL |
VIII. Authorized Official
Name:
STEVEN
ROBERT
SNELL
Title or Position: OWNER
Credential:
Phone: 772-205-3888