Provider Demographics
NPI:1891524898
Name:FAMILY SYNDICATED ENTERPRISES CORPORATION
Entity type:Organization
Organization Name:FAMILY SYNDICATED ENTERPRISES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUGAR RAE
Authorized Official - Middle Name:
Authorized Official - Last Name:DYKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-647-5541
Mailing Address - Street 1:10717 DREXEL AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44108-3606
Mailing Address - Country:US
Mailing Address - Phone:216-647-5541
Mailing Address - Fax:
Practice Address - Street 1:12419 BUCKEYE RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44120-2649
Practice Address - Country:US
Practice Address - Phone:216-647-5541
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)