Provider Demographics
NPI:1477732154
Name:INTEGRITY HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:INTEGRITY HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ENID
Authorized Official - Middle Name:LWIINDI
Authorized Official - Last Name:MUMBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-245-3643
Mailing Address - Street 1:7362 UNIVERSITY AVE NE
Mailing Address - Street 2:303
Mailing Address - City:FRIDLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55432-3150
Mailing Address - Country:US
Mailing Address - Phone:763-245-3643
Mailing Address - Fax:763-862-7438
Practice Address - Street 1:7362 UNIVERSITY AVE NE
Practice Address - Street 2:303
Practice Address - City:FRIDLEY
Practice Address - State:MN
Practice Address - Zip Code:55432-3142
Practice Address - Country:US
Practice Address - Phone:763-245-3643
Practice Address - Fax:763-862-7438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-30
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN337590251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health