Provider Demographics
NPI:1245737139
Name:SURETY HEALTHCARE SERVICES, LLC
Entity Type:Organization
Organization Name:SURETY HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-229-6560
Mailing Address - Street 1:8415 BRIDLE SPUR DR
Mailing Address - Street 2:
Mailing Address - City:HAZELWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63042-3035
Mailing Address - Country:US
Mailing Address - Phone:314-229-6560
Mailing Address - Fax:314-521-1344
Practice Address - Street 1:8415 BRIDLE SPUR DR
Practice Address - Street 2:
Practice Address - City:HAZELWOOD
Practice Address - State:MO
Practice Address - Zip Code:63042-3035
Practice Address - Country:US
Practice Address - Phone:314-435-5241
Practice Address - Fax:314-521-1344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-09
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health