Provider Demographics
NPI:1154126902
Name:SNM LLC
Entity type:Organization
Organization Name:SNM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHARIF
Authorized Official - Middle Name:
Authorized Official - Last Name:MUTAAWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-312-8369
Mailing Address - Street 1:5577 HIGHWAY 81
Mailing Address - Street 2:
Mailing Address - City:LOGANVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30052-3407
Mailing Address - Country:US
Mailing Address - Phone:857-312-8369
Mailing Address - Fax:
Practice Address - Street 1:268 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026-1827
Practice Address - Country:US
Practice Address - Phone:857-312-8369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)