Provider Demographics
NPI:1568759918
Name:SYMPHONY HOMES AND SERVICES LLC
Entity Type:Organization
Organization Name:SYMPHONY HOMES AND SERVICES LLC
Other - Org Name:SYMPHONY OR SYMPHONY HOMES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:BETTRIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-723-7444
Mailing Address - Street 1:PO BOX 35585
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99803-5585
Mailing Address - Country:US
Mailing Address - Phone:907-723-7444
Mailing Address - Fax:
Practice Address - Street 1:3110 NOWELL AVE
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-1932
Practice Address - Country:US
Practice Address - Phone:907-723-7444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-06
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK100910310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility