Provider Demographics
NPI:1316217631
Name:SYNCERE HEALTH GROUP
Entity Type:Organization
Organization Name:SYNCERE HEALTH GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:EVANS
Authorized Official - Last Name:RICE
Authorized Official - Suffix:II
Authorized Official - Credentials:BS
Authorized Official - Phone:810-730-4677
Mailing Address - Street 1:1325 S LINDEN RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3408
Mailing Address - Country:US
Mailing Address - Phone:810-730-4677
Mailing Address - Fax:810-720-3122
Practice Address - Street 1:1325 S LINDEN RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3408
Practice Address - Country:US
Practice Address - Phone:810-730-4677
Practice Address - Fax:810-720-3122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-03
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI04069P251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health