Organization
INTRAQUAL PREMIER INC
Active
Other names
Intraqual Premier ALF
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFANY GORDON (ADMINISTRATOR)
(305) 724-1974
Entity
Organization
Contact information
Practice address
19117 NW 33RD AVE, MIAMI GARDENS, FL 33056-7406
(305) 621-1051
(305) 628-4855
Mailing address
19117 NW 33RD AVE, MIAMI GARDENS, FL 33056-7406
(305) 621-1051
(305) 628-4855
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11941
FL
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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