Organization
TANGELO - INTEND, INC.
Active
Other names
Tangelo
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER NATHAN O'CONNOR (CFO)
(904) 671-2995
Entity
Organization
Contact information
Practice address
550 W MERRILL ST STE 100, BIRMINGHAM, MI 48009-1443
(503) 936-1400
Mailing address
550 W MERRILL ST STE 100, BIRMINGHAM, MI 48009-1443
(503) 936-1400
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
—
—
335G00000X
Medical Foods Supplier
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
12/06/2023
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