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Organization

SYNERGY OUTREACH SERVICES

Active
Parent organization
XAVIER HOME HEALTHCARE
Organization subpart
Yes

Provider details

NPI number
Legal business name
XAVIER HOME HEALTHCARE
Authorized official
MR. JERMAINE YOUNG (ADMINISTRATOR)
(414) 659-3060
Entity
Organization

Contact information

Practice address
314 W WASHINGTON ST, MILWAUKEE, WI 53204-2457
(414) 659-3060
(414) 386-7913
Mailing address
314 W WASHINGTON ST, MILWAUKEE, WI 53204-2457
(414) 659-3060
(414) 386-7913

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100034505
WI
Enumeration date
12/18/2017
Last updated
04/26/2018
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