Provider Demographics
NPI:1720695034
Name:STALEY-SINGH LLC
Entity type:Organization
Organization Name:STALEY-SINGH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHNEIL
Authorized Official - Middle Name:D
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-592-4497
Mailing Address - Street 1:10134 ELK WOOD CT
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-2771
Mailing Address - Country:US
Mailing Address - Phone:916-502-4497
Mailing Address - Fax:
Practice Address - Street 1:10134 ELK WOOD CT
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-2771
Practice Address - Country:US
Practice Address - Phone:916-502-4497
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-30
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)