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Organization
OPTUM INFUSION SERVICES 205, INC
Active
Organization
OPTUM INFUSION SERVICES 205, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLEY WILLIAMS (COMPLIANCE ANALYST / PARLAEGAL)
(913) 335-6786
Entity
Organization
Contact information
Practice address
21301 POWERLINE RD STE 206, BOCA RATON, FL 33433-2390
(561) 314-0644
(855) 407-1229
Mailing address
15529 COLLEGE BLVD., LENEXA, KS 66219-1351
(877) 342-9352
(877) 542-9352
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299993649
HHA299993649
FL
Enumeration date
09/14/2009
Last updated
01/06/2020
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