Provider Demographics
NPI:1578138566
Name:INTEGRATED HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:INTEGRATED HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:FAISA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDILLAHI
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:617-682-6325
Mailing Address - Street 1:2499 RICE ST # 236A
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-3724
Mailing Address - Country:US
Mailing Address - Phone:617-682-6325
Mailing Address - Fax:
Practice Address - Street 1:2499 RICE ST # 236A
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-3724
Practice Address - Country:US
Practice Address - Phone:617-682-6325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-24
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care