Provider Demographics
NPI:1275928814
Name:S & N DIVERSIFIED, LLC
Entity Type:Organization
Organization Name:S & N DIVERSIFIED, LLC
Other - Org Name:ESSENTIALCARE, AZ
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:D
Authorized Official - Last Name:NATOLI
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:480-696-0382
Mailing Address - Street 1:1928 E HIGHLAND AVE
Mailing Address - Street 2:#F 104-543
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-4626
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6991 E CAMELBACK RD
Practice Address - Street 2:D-300
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-2432
Practice Address - Country:US
Practice Address - Phone:602-284-5884
Practice Address - Fax:888-346-4245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-31
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health