Healthcare Provider Details

I. General information

NPI: 1528846623
Provider Name (Legal Business Name): SNATCHD BODY GODDESS BY TINK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2023
Last Update Date: 09/19/2023
Certification Date: 09/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7307 BRANFORD PARK LN
RICHMOND TX
77407-8007
US

IV. Provider business mailing address

7307 BRANFORD PARK LN
RICHMOND TX
77407-8007
US

V. Phone/Fax

Practice location:
  • Phone: 346-622-9395
  • Fax:
Mailing address:
  • Phone: 346-622-9395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: APRIL GILL
Title or Position: OWNER
Credential:
Phone: 346-622-9395