Provider Demographics
NPI:1467241968
Name:SYLJ-LA SAUNDERS, SYLJ-LA SAUNDERS N
Entity type:Individual
Prefix:
First Name:SYLJ-LA SAUNDERS
Middle Name:N
Last Name:SYLJ-LA SAUNDERS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1654 OAK ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205-2142
Mailing Address - Country:US
Mailing Address - Phone:614-828-7167
Mailing Address - Fax:614-828-7167
Practice Address - Street 1:1654 OAK ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-2142
Practice Address - Country:US
Practice Address - Phone:614-828-7167
Practice Address - Fax:614-828-7167
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant