Organization
INTEQ ALLIANCE, INC.
Active
Other names
ALBANY PREMIUM CARE
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA ELAINE AKINNUBI (DIRECTOR)
(229) 603-1968
Entity
Organization
Contact information
Practice address
1737 PINEKNOLL LN, ALBANY, GA 31707-3778
(229) 603-1968
(229) 432-0671
Mailing address
1737 PINEKNOLL LN, ALBANY, GA 31707-3778
(229) 603-1968
(229) 432-0671
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
AB16-000628
GA
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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