Provider Demographics
NPI:1568859445
Name:S&N HEALTHCARE
Entity Type:Organization
Organization Name:S&N HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-768-7903
Mailing Address - Street 1:8601 4TH ST N
Mailing Address - Street 2:SUITE 203A
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-3108
Mailing Address - Country:US
Mailing Address - Phone:727-768-7903
Mailing Address - Fax:
Practice Address - Street 1:8601 4TH ST N
Practice Address - Street 2:SUITE 203A
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-3108
Practice Address - Country:US
Practice Address - Phone:727-768-7903
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-19
Last Update Date:2015-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care