Organization
SYNERGY CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEMOLA OWODUNNI MSW (EXECUTIVE DIRECTOR)
(215) 570-9661
Entity
Organization
Contact information
Practice address
12142 ASTER RD, PHILADELPHIA, PA 19154-1702
(215) 570-9661
Mailing address
5934 TORRESDALE AVE, PHILADELPHIA, PA 19135-4151
(215) 570-9661
(215) 494-1099
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
BH000439
PA
163W00000X
Registered Nurse
Primary
RN587494
PA
164W00000X
Licensed Practical Nurse
PN289494
PA
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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