Organization
BLUE LADY INC
Active
Other names
Synergy HomeCare
Organization subpart
No
Provider details
NPI number
Authorized official
MERIDELL SLOTEREEK (PRESIDENT)
(602) 283-5050
Entity
Organization
Contact information
Practice address
2345 E THOMAS RD, SUITE 110, PHOENIX, AZ 85016-7848
(602) 283-5050
(602) 283-5055
Mailing address
2345 E THOMAS RD, SUITE 110, PHOENIX, AZ 85016-7848
(602) 283-5050
(602) 283-5055
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
NOT REQUIRED
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
985442
AHCCCS ID PROVIDER #
AZ
Enumeration date
02/05/2007
Last updated
08/22/2020
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