Provider Demographics
NPI:1194490391
Name:SYNERGY SATURDAY, INC.
Entity type:Organization
Organization Name:SYNERGY SATURDAY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-647-8648
Mailing Address - Street 1:PO BOX 26333
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72221-6333
Mailing Address - Country:US
Mailing Address - Phone:877-647-8648
Mailing Address - Fax:870-888-0562
Practice Address - Street 1:400 PRESIDENT CLINTON AVE
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72201-1638
Practice Address - Country:US
Practice Address - Phone:877-647-8648
Practice Address - Fax:870-888-0562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-10
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable