Provider Demographics
NPI:1053501734
Name:SS&MC
Entity type:Organization
Organization Name:SS&MC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUKHRAJ
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:MANN
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:916-769-0148
Mailing Address - Street 1:3270 ARENA BLVD
Mailing Address - Street 2:SUITE 400-101
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-3001
Mailing Address - Country:US
Mailing Address - Phone:916-769-0148
Mailing Address - Fax:916-290-0335
Practice Address - Street 1:216 N EAST ST
Practice Address - Street 2:SUITE 101
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95776-5904
Practice Address - Country:US
Practice Address - Phone:916-769-0148
Practice Address - Fax:916-290-0335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-27
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health