Provider Demographics
NPI:1497297972
Name:SYDANDI LLC
Entity Type:Organization
Organization Name:SYDANDI LLC
Other - Org Name:CARE LYNC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CMO/GM
Authorized Official - Prefix:
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:TINDALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-273-6704
Mailing Address - Street 1:257 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106-1320
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2824 COTTMAN AVE
Practice Address - Street 2:SUITE 7
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19149-1400
Practice Address - Country:US
Practice Address - Phone:215-273-6704
Practice Address - Fax:215-904-5073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-15
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management