Provider Demographics
NPI:1346746906
Name:INTEGRITY HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:INTEGRITY HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/REGISTERED NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:L
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:414-881-3174
Mailing Address - Street 1:6211 N 105TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53225-1409
Mailing Address - Country:US
Mailing Address - Phone:414-881-3174
Mailing Address - Fax:
Practice Address - Street 1:6211 N 105TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53225-1409
Practice Address - Country:US
Practice Address - Phone:414-881-3174
Practice Address - Fax:414-434-2653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-03
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI153487-30251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health