MEDICARE: BENGUY, LLC DBA SYNERGY HOMECARE

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1295979888
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BENGUY, LLC DBA SYNERGY HOMECARE

Provider Business Mailing Address
First Line	:	33314 GRAND RIVER AVE
Second Line	:
City	:	FARMINGTON
State	:	MI
Zip	:	48336-3124
Country	:	US
Telephone Number	:	248-919-1244
Fax Number	:	248-919-1247

Provider Business Practice Location Address
First Line	:	33314 GRAND RIVER AVE
Second Line	:
City	:	FARMINGTON
State	:	MI
Zip	:	48336-3124
Country	:	US
Telephone Number	:	248-919-1244
Fax Number	:	248-919-1247

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. JEANNE MARIE ATKINSON
Credential	:
Telephone Number	:	248-919-1244

Provider Enumeration Date	:	04/27/2009
Last Update Date	:	04/27/2009

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