Provider Demographics
NPI:1134493521
Name:ADRIAN MANALILI
Entity Type:Organization
Organization Name:ADRIAN MANALILI
Other - Org Name:MANAGEMENT HEALTH SYSTEMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:PALOR
Authorized Official - Last Name:MANALILI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-439-6524
Mailing Address - Street 1:4041 NORTH PINE ISLAND RD APARTMENT 404
Mailing Address - Street 2:SHAMROCK APARTMENTS
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351
Mailing Address - Country:US
Mailing Address - Phone:954-439-6524
Mailing Address - Fax:
Practice Address - Street 1:4041 N. PINE ISLAND RD APT# 404
Practice Address - Street 2:SHAMROCK APARTMENTS
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351
Practice Address - Country:US
Practice Address - Phone:954-439-6524
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-02
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health