Provider Demographics
NPI:1760707780
Name:INTEGRATIVE HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:INTEGRATIVE HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LILLY
Authorized Official - Middle Name:
Authorized Official - Last Name:BURTON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:586-771-7253
Mailing Address - Street 1:21261 KELLY RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:EASTPOINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48021-3125
Mailing Address - Country:US
Mailing Address - Phone:586-771-7253
Mailing Address - Fax:586-771-7236
Practice Address - Street 1:21261 KELLY RD
Practice Address - Street 2:SUITE 106
Practice Address - City:EASTPOINTE
Practice Address - State:MI
Practice Address - Zip Code:48021-3125
Practice Address - Country:US
Practice Address - Phone:586-771-7253
Practice Address - Fax:586-771-7236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-01
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health