Organization
SYNERTX THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY LYNN CAROTHERS (LPTA)
(440) 813-6800
Entity
Organization
Contact information
Practice address
1002 JONES RD, JEFFERSON, OH 44047-9807
(440) 813-6800
Mailing address
1002 JONES RD, JEFFERSON, OH 44047-9807
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
04954
OH
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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