Intraqual Premier Inc

NPI 1104121466 - Assisted Living Facility - 310400000X

NPI Details
NPI 1104121466
Enumeration Date 01/18/2011
Last Updated 01/18/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name TIFFANY TIFFANY
Position ADMINISTRATOR
Phone (305) 621-1051
Fax (305) 628-4855
Practice Location
19117 NW 33RD AVE
MIAMI GARDENS FL, 33056-7406, US
Phone (305) 621-1051
Fax (305) 628-4855
Business Location
19117 NW 33RD AVE
MIAMI GARDENS FL, 33056-7406, US
Phone (305) 621-1051
Fax (305) 628-4855
Toxanomy
Taxonomy Code 310400000X
License State Florida
License Number AL11941
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According to our database, Intraqual Premier Inc NPI is 1104121466, taxonomy code is 310400000X and license number is AL11941, license state is located at Florida. Intraqual Premier Inc physically located at 19117 Nw 33rd Ave, Miami Gardens FL, 33056-7406. NPI Number 1033115704 has the healthcare provider type.

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1104121466 NPI number is provided on an as is basis without warranty of any kind. 1104121466 is maintained by the National Plan & Provider Enumeration System. The contents of Intraqual Premier Inc are for informational purposes only.