Healthcare Provider Details

I. General information

NPI: 1699896068
Provider Name (Legal Business Name): SYMPHONY SUPPORTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7801 IRWIN RD
RAYTOWN MO
64138-2562
US

IV. Provider business mailing address

7801 IRWIN
RAYTOWN MO
64138
US

V. Phone/Fax

Practice location:
  • Phone: 816-358-0199
  • Fax: 816-358-0017
Mailing address:
  • Phone: 816-358-0199
  • Fax: 816-358-0017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ERAYNA STRINGER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 816-797-4617