Organization
INTEGRATED HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANELZA R. CHANG-RIVERA (DIRECTOR)
(786) 478-7643
Entity
Organization
Contact information
Practice address
14221 SW 120TH ST STE 210, MIAMI, FL 33186-4224
(786) 478-7643
(786) 409-2019
Mailing address
14221 SW 120TH ST STE 210, MIAMI, FL 33186-4224
(786) 478-7643
(786) 409-2019
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
235Z00000X
Speech-Language Pathologist
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
302R00000X
Health Maintenance Organization
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
03/28/2024
Last updated
08/14/2024
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