Organization
SYNERGY HOME CARE NORTHSHORE REGION INC
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED OFFICIAL)
(985) 429-9040
Entity
Organization
Contact information
Practice address
1305 DEREK DR, SUITE 1 & 2, HAMMOND, LA 70403-5717
(985) 429-9040
(985) 429-1858
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1210
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1403598
—
LA
Enumeration date
08/23/2005
Last updated
11/30/2023
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