Provider Demographics
NPI:1215553359
Name:SYNC HEALTH LLC
Entity type:Organization
Organization Name:SYNC HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:
Authorized Official - Last Name:JUMONVILLE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:337-289-0002
Mailing Address - Street 1:221 SOUTHPARK RD STE 1
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-3613
Mailing Address - Country:US
Mailing Address - Phone:337-289-0002
Mailing Address - Fax:
Practice Address - Street 1:1300 VEROT SCHOOL RD STE D
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-5855
Practice Address - Country:US
Practice Address - Phone:337-210-4071
Practice Address - Fax:337-735-2231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-24
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty