Healthcare Provider Details

I. General information

NPI: 1568259760
Provider Name (Legal Business Name): JENNIFER SNAY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2025
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2023 W US HIGHWAY 10 31
SCOTTVILLE MI
49454-9697
US

IV. Provider business mailing address

2023 W US HIGHWAY 10 31
SCOTTVILLE MI
49454-9697
US

V. Phone/Fax

Practice location:
  • Phone: 231-757-3209
  • Fax: 231-757-9967
Mailing address:
  • Phone: 231-757-3209
  • Fax: 231-757-9967

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License NumberA
License Number State
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberAL530086068
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: