Provider Demographics
NPI:1336578863
Name:SYMPONIA, LLC
Entity Type:Organization
Organization Name:SYMPONIA, LLC
Other - Org Name:RIGHT AT HOME #1415
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:NYDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-896-2681
Mailing Address - Street 1:130 HILLCREST DR
Mailing Address - Street 2:SUITE 106
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-5064
Mailing Address - Country:US
Mailing Address - Phone:931-896-2681
Mailing Address - Fax:931-896-2680
Practice Address - Street 1:130 HILLCREST DR
Practice Address - Street 2:SUITE 106
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-5064
Practice Address - Country:US
Practice Address - Phone:931-896-2681
Practice Address - Fax:931-896-2680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-05
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care