Healthcare Provider Details

I. General information

NPI: 1023466190
Provider Name (Legal Business Name): SNG HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2016
Last Update Date: 10/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 INTERNATIONAL PLAZA DRIVE SUITE 550
PHILADELPHIA PA
19113-1528
US

IV. Provider business mailing address

1 INTERNATIONAL PLAZA DRIVE SUITE 550
PHILADELPHIA PA
19113-1528
US

V. Phone/Fax

Practice location:
  • Phone: 267-591-8940
  • Fax: 215-790-2943
Mailing address:
  • Phone: 267-591-8940
  • Fax: 215-790-2945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. NAT'E GUYTON
Title or Position: PRESIDENT
Credential:
Phone: 215-740-4979