Organization
INTERACTIVE HEALTH ALLIANCE, LLC
Active
Other names
Interactive Health Alliance, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. OLIVENE EDWARDS (OWNER)
(813) 315-8860
Entity
Organization
Contact information
Practice address
1463 OAKFIELD DR STE 133, BRANDON, FL 33511-0802
(813) 315-8860
Mailing address
1463 OAKFIELD DR STE 133, BRANDON, FL 33511-0802
(813) 315-8860
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022514800
—
FL
Enumeration date
01/09/2018
Last updated
06/11/2019
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