Organization
INTEGRATED HEALTH SERVICES OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEIDA ALICEA (MANAGER)
(954) 309-2548
Entity
Organization
Contact information
Practice address
601 SE 5TH CT APT 201, FORT LAUDERDALE, FL 33301-2943
(954) 309-2548
Mailing address
601 SE 5TH CT APT 201, FORT LAUDERDALE, FL 33301-2943
(954) 309-2548
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018386300
—
FL
Enumeration date
11/10/2016
Last updated
11/10/2016
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