MEDICARE: SYNGOZ LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1356091532
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYNGOZ LLC

Provider Business Mailing Address
First Line	:	408 TEMPLE TRL
Second Line	:
City	:	FORNEY
State	:	TX
Zip	:	75126-3615
Country	:	US
Telephone Number	:	214-861-5557
Fax Number	:

Provider Business Practice Location Address
First Line	:	408 TEMPLE TRL
Second Line	:
City	:	FORNEY
State	:	TX
Zip	:	75126-3615
Country	:	US
Telephone Number	:	214-861-5557
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	FORTUNE UBANI
Credential	:	RN
Telephone Number	:	214-861-5557

Provider Enumeration Date	:	03/28/2022
Last Update Date	:	03/28/2022

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Directions to “SYNGOZ LLC ” Practice Location

Language	Start Address	Practice Location

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