Healthcare Provider Details

I. General information

NPI: 1184920662
Provider Name (Legal Business Name): SNILLOC, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2011
Last Update Date: 02/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1402 ADDIE B BYERS DR
SAVANNAH GA
31415-7874
US

IV. Provider business mailing address

829 SOUTHBRIDGE BLVD
SAVANNAH GA
31405-1096
US

V. Phone/Fax

Practice location:
  • Phone: 912-349-0843
  • Fax:
Mailing address:
  • Phone: 912-349-0843
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. JANET L COLLINS
Title or Position: OWNER
Credential:
Phone: 912-349-0843