Provider Demographics
NPI:1679237622
Name:INTEGRITY HOME OF MANATEE INC
Entity Type:Organization
Organization Name:INTEGRITY HOME OF MANATEE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JR
Authorized Official - Last Name:EXANTUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-807-9657
Mailing Address - Street 1:2908 102ND AVE E
Mailing Address - Street 2:
Mailing Address - City:PARRISH
Mailing Address - State:FL
Mailing Address - Zip Code:34219-9203
Mailing Address - Country:US
Mailing Address - Phone:941-807-9657
Mailing Address - Fax:941-460-4387
Practice Address - Street 1:2700 BELVOIR BLVD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-6311
Practice Address - Country:US
Practice Address - Phone:941-807-9657
Practice Address - Fax:941-460-4387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-26
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care