Provider Demographics
NPI:1780087445
Name:SNACO MANAGEMENT AND CONSULTING COMPANY LLC
Entity type:Organization
Organization Name:SNACO MANAGEMENT AND CONSULTING COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ONYE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:240-893-9514
Mailing Address - Street 1:13024 BOYKIN PL
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-5640
Mailing Address - Country:US
Mailing Address - Phone:240-893-9514
Mailing Address - Fax:301-218-0265
Practice Address - Street 1:13024 BOYKIN PL
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-5640
Practice Address - Country:US
Practice Address - Phone:240-893-9514
Practice Address - Fax:301-218-0265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-08
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD0003122050171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty