Healthcare Provider Details

I. General information

NPI: 1437101029
Provider Name (Legal Business Name): S & S HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 09/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4395 ELECTRIC RD
ROANOKE VA
24018-0721
US

IV. Provider business mailing address

4395 ELECTRIC RD
ROANOKE VA
24018-0721
US

V. Phone/Fax

Practice location:
  • Phone: 540-774-8686
  • Fax: 540-774-0279
Mailing address:
  • Phone: 540-774-8686
  • Fax: 540-774-0279

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: MITCHELL P DAVIS
Title or Position: CEO/OWNER
Credential:
Phone: 540-744-8686