Healthcare Provider Details

I. General information

NPI: 1245950369
Provider Name (Legal Business Name): SNG HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2022
Last Update Date: 08/30/2022
Certification Date: 08/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 KINGSTON WAY APT 201
CHESAPEAKE VA
23320-4687
US

IV. Provider business mailing address

1313 KINGSTON WAY APT 201
CHESAPEAKE VA
23320-4687
US

V. Phone/Fax

Practice location:
  • Phone: 757-996-1090
  • Fax: 757-769-8391
Mailing address:
  • Phone: 757-996-1090
  • Fax: 757-769-8391

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SAMANTHA N RIDLEY
Title or Position: OWNER
Credential:
Phone: 757-996-1090