Provider Demographics
NPI:1730876509
Name:CYNLOU, INC,
Entity type:Organization
Organization Name:CYNLOU, INC,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-401-5133
Mailing Address - Street 1:4850 N STATE ROAD 7 STE 101
Mailing Address - Street 2:
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33319-5807
Mailing Address - Country:US
Mailing Address - Phone:954-581-9968
Mailing Address - Fax:
Practice Address - Street 1:4850 N STATE ROAD 7 STE 101
Practice Address - Street 2:
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33319-5807
Practice Address - Country:US
Practice Address - Phone:954-581-9968
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health