Provider Demographics
NPI:1063912871
Name:SYGNIFICARE, LLC
Entity type:Organization
Organization Name:SYGNIFICARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-414-0155
Mailing Address - Street 1:10201 W MARKHAM ST STE 105
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-2180
Mailing Address - Country:US
Mailing Address - Phone:501-414-0155
Mailing Address - Fax:501-379-8256
Practice Address - Street 1:10201 W MARKHAM ST STE 105
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-2180
Practice Address - Country:US
Practice Address - Phone:501-414-0155
Practice Address - Fax:501-379-8256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-19
Last Update Date:2018-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation