Provider Demographics
NPI:1558019398
Name:INTEGRITY HOMECARE AND NURSING SERVICE AGENCY
Entity Type:Organization
Organization Name:INTEGRITY HOMECARE AND NURSING SERVICE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRUNDA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:678-907-3454
Mailing Address - Street 1:4047 HOLCOMB BRIDGE RD STE 205
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-1900
Mailing Address - Country:US
Mailing Address - Phone:978-327-9827
Mailing Address - Fax:833-439-4440
Practice Address - Street 1:4047 HOLCOMB BRIDGE RD STE 205
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-1900
Practice Address - Country:US
Practice Address - Phone:678-907-3454
Practice Address - Fax:833-439-4440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care