Organization
INTEGRATED HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH POERIO APRN (EXECUTIVE DIRECTOR)
(860) 291-9787
Entity
Organization
Contact information
Practice address
869 FORBES ST, EAST HARTFORD, CT 06118-1958
(860) 622-5340
(860) 622-5342
Mailing address
763 BURNSIDE AVE, EAST HARTFORD, CT 06108-2791
(860) 291-9787
(860) 291-2392
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008001955
—
CT
05
—
008002608
—
CT
Enumeration date
03/31/2008
Last updated
11/22/2013
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