Organization
SYNERGY HOMECARE TCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OMAR KHAYYAM RICHMOND (PRESIDENT)
(952) 697-4430
Entity
Organization
Contact information
Practice address
13955 W PRESERVE BLVD, SUITE 202, BURNSVILLE, MN 55337-7733
(952) 697-4430
(952) 697-4431
Mailing address
13955 W PRESERVE BLVD, SUITE 202, BURNSVILLE, MN 55337-7733
(952) 697-4430
(952) 697-4431
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
355127
MN
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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