Provider Demographics
NPI:1316300205
Name:SYNERGY HOME SERVICES CORPORATION
Entity type:Organization
Organization Name:SYNERGY HOME SERVICES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KHADISHA
Authorized Official - Middle Name:LEME
Authorized Official - Last Name:SAUNDERS-DAVENPORT
Authorized Official - Suffix:
Authorized Official - Credentials:MA LPC
Authorized Official - Phone:313-784-5560
Mailing Address - Street 1:29193 NORTHWESTERN HWY UNIT 781
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-1011
Mailing Address - Country:US
Mailing Address - Phone:313-784-5560
Mailing Address - Fax:
Practice Address - Street 1:16000 W 9 MILE RD STE 309
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4835
Practice Address - Country:US
Practice Address - Phone:313-784-5560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-30
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health