MEDICARE: S.N.G., INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	RN281922L	PA

General Provider Information

NPI Number	:	1023265824
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	S.N.G., INC

Provider Business Mailing Address
First Line	:	2541 N 9TH ST
Second Line	:	SUITE 1
City	:	PHILADELPHIA
State	:	PA
Zip	:	19133-1908
Country	:	US
Telephone Number	:	215-237-6640
Fax Number	:

Provider Business Practice Location Address
First Line	:	2541 N 9TH ST
Second Line	:	SUITE 1
City	:	PHILADELPHIA
State	:	PA
Zip	:	19133-1908
Country	:	US
Telephone Number	:	215-237-6640
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE OFFICER
Name	:	HILLORY HENRY
Credential	:	R.N.
Telephone Number	:	215-237-6640

Provider Enumeration Date	:	08/22/2008
Last Update Date	:	08/22/2008

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