Provider Demographics
NPI:1407445323
Name:INTEGRATIVE HEALTH SOLUTIONS INC
Entity Type:Organization
Organization Name:INTEGRATIVE HEALTH SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:POOR
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:207-846-5525
Mailing Address - Street 1:765 ROUTE 1
Mailing Address - Street 2:
Mailing Address - City:YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04096-6928
Mailing Address - Country:US
Mailing Address - Phone:207-846-5525
Mailing Address - Fax:
Practice Address - Street 1:765 ROUTE 1
Practice Address - Street 2:
Practice Address - City:YARMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04096-6928
Practice Address - Country:US
Practice Address - Phone:207-846-5525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health