Provider Demographics
NPI:1619328440
Name:COMMUNITY SYNERGY GROUP, INC
Entity Type:Organization
Organization Name:COMMUNITY SYNERGY GROUP, INC
Other - Org Name:R & R ADULT DAY CARE @ CSG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RODERICK
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-925-1077
Mailing Address - Street 1:299 LORAINE DR
Mailing Address - Street 2:SUITE 1001
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-3376
Mailing Address - Country:US
Mailing Address - Phone:407-494-2406
Mailing Address - Fax:866-802-6856
Practice Address - Street 1:299 LORAINE DR
Practice Address - Street 2:SUITE 1001
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-3376
Practice Address - Country:US
Practice Address - Phone:407-494-2406
Practice Address - Fax:866-802-6856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-22
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care