Provider Demographics
NPI:1649748484
Name:SYNERGY HOMECARE NW METRO, MN
Entity Type:Organization
Organization Name:SYNERGY HOMECARE NW METRO, MN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNNIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-849-9249
Mailing Address - Street 1:4134 DEEGAN CT STE 50
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:MN
Mailing Address - Zip Code:55362-4583
Mailing Address - Country:US
Mailing Address - Phone:612-849-9249
Mailing Address - Fax:
Practice Address - Street 1:4134 DEEGAN CT STE 50
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:MN
Practice Address - Zip Code:55362-4583
Practice Address - Country:US
Practice Address - Phone:612-849-9249
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-09
Last Update Date:2018-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health