Healthcare Provider Details

I. General information

NPI: 1902848211
Provider Name (Legal Business Name): SYNERGY HEALTH COMPANIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 01/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1521 N CARPENTER RD SUITE D-1
MODESTO CA
95351-1147
US

IV. Provider business mailing address

1521 N CARPENTER RD SUITE D-1
MODESTO CA
95351-1147
US

V. Phone/Fax

Practice location:
  • Phone: 209-577-4625
  • Fax: 209-544-8895
Mailing address:
  • Phone: 209-577-4625
  • Fax: 209-544-8895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number100000457
License Number StateCA

VIII. Authorized Official

Name: MR. RON MURPHY
Title or Position: OWNER
Credential:
Phone: 209-577-4625