Healthcare Provider Details

I. General information

NPI: 1023673316
Provider Name (Legal Business Name): NSYNC BUSINESS SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2019
Last Update Date: 05/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2928 E MOBILE LN
PHOENIX AZ
85040-2742
US

IV. Provider business mailing address

2928 E MOBILE LN
PHOENIX AZ
85040-2742
US

V. Phone/Fax

Practice location:
  • Phone: 800-516-2479
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. BRENDLY CLARK
Title or Position: OWNER
Credential: PH.D
Phone: 800-516-2479