Provider Demographics
NPI:1275115149
Name:SNYDER ASSISTED INDEPENDENT LIVING SERVICES
Entity Type:Organization
Organization Name:SNYDER ASSISTED INDEPENDENT LIVING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DE
Authorized Official - Middle Name:
Authorized Official - Last Name:BASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-244-3777
Mailing Address - Street 1:221 SPENCER RD STE K
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-2438
Mailing Address - Country:US
Mailing Address - Phone:636-244-3777
Mailing Address - Fax:888-857-6249
Practice Address - Street 1:221 SPENCER RD STE K
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-2438
Practice Address - Country:US
Practice Address - Phone:636-244-3777
Practice Address - Fax:888-857-6249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care