Provider Demographics
NPI:1225870520
Name:SYNERGY SELECTCARE INC.
Entity type:Organization
Organization Name:SYNERGY SELECTCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TYRA
Authorized Official - Middle Name:
Authorized Official - Last Name:CREER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-409-1437
Mailing Address - Street 1:2669 EUCLID HEIGHTS BLVD APT 1
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44106-2823
Mailing Address - Country:US
Mailing Address - Phone:216-526-3690
Mailing Address - Fax:
Practice Address - Street 1:27020 CEDAR RD APT PH2
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-1163
Practice Address - Country:US
Practice Address - Phone:216-409-1437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty