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INTRAQUAL PREMIER INC NPI 1104121466


NPI Information

NPI: 1104121466
Provider Name: INTRAQUAL PREMIER INC

Doing Business As: INTRAQUAL PREMIER ALF

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
19117 NW 33RD AVE
MIAMI GARDENS, FL
ZIP 33056
Phone: (305) 621-1051
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INTRAQUAL PREMIER INC is an assisted living facility in Miami Gardens, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. INTRAQUAL PREMIER INC NPI is 1104121466. The provider is registered as an organization entity type.
The provider Is Doing Business As Intraqual Premier Alf.

The provider's business location address is:

19117 NW 33RD AVE
MIAMI GARDENS, FL
ZIP 33056-406
Phone: (305) 621-1051
Fax: (305) 628-4855

The provider's authorized official is Tiffany Gordon .
The authorized official title is Administrator and has the following contact phone number (305) 724-1974.

The enumeration date for this NPI number is 1/18/2011 and was last updated on 1/18/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityAL11941FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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