- Enrollment id
- O20060316000073
- Enrollment state
- MI
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1033207477
- Multiple npi flag
- N
- Ccn
- 237607
- Associate id
- 9234146218
- Organization name
- SYNERGY HOME HEALTH CARE, INC
- Incorporation date
- 2005-03-17
- Incorporation state
- MI
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 28009 JOHN R ROAD
- City
- MADISON HEIGHTS
- State
- MI
- Zip code
- 480712809