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General NPI Number Information
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NPI Number | 1861218919
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Entity Type | Organization
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Legal Business Name | SYNERGY LIVING SERVICES LLC DBA HEALTHIFY CARE LLC
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Dates
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Enumeration Date | 11/22/2024
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 1800 FARMINGTON RD
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City | ROCKY MOUNT
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State | NC
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Zip | 27801-3028
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Country | US
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Telephone | 252-469-2223
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Fax |
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Provider Business Mailing Address
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Address Line | 4780 ASHFORD DUNWOODY RD STE 540348
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City | ATLANTA
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State | GA
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Zip | 30338-5564
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Country | US
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Telephone | 252-252-4692
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Fax | 919-877-8002
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Authorized Official
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Title or Position | DIRECTOR
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Name | JERIEL CONSTATINE BROWN
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Credential | PMP
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Telephone | 252-252-4692
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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