Organization
INTERRA HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE D RUTH (IMPLEMENTATION & TRAINING COORD)
(262) 330-2827
Entity
Organization
Contact information
Practice address
4553 PLEASANT HILL RD, KISSIMMEE, FL 34759-3422
(407) 483-5757
(855) 642-2122
Mailing address
8919 W HEATHER AVE, MILWAUKEE, WI 53224-2417
(262) 330-2827
(414) 375-1623
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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