Organization
SYNERGY HOMECARE OF NW VA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL L. C. MILLER (PRESIDENT / OWNER)
(540) 636-0038
Entity
Organization
Contact information
Practice address
1105 N ROYAL AVE STE 2, FRONT ROYAL, VA 22630-3525
(540) 636-0038
(540) 551-3587
Mailing address
1105 N ROYAL AVE STE 2, FRONT ROYAL, VA 22630-3525
(540) 636-0038
(540) 551-3587
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCO-1620
VIRGINIA DEPT OF HEALTH HOME CARE LICENSE
VA
Enumeration date
04/15/2019
Last updated
04/15/2019
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