Healthcare Provider Details

I. General information

NPI: 1265090476
Provider Name (Legal Business Name): SANCRO SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2019
Last Update Date: 06/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 S 20TH ST APT U310
RICHMOND VA
23223-7276
US

IV. Provider business mailing address

10 S 20TH ST APT U310
RICHMOND VA
23223-7276
US

V. Phone/Fax

Practice location:
  • Phone: 804-300-3988
  • Fax:
Mailing address:
  • Phone: 804-300-3988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. AARONDE R INGE
Title or Position: BUSINESS OWNER
Credential:
Phone: 804-300-3988