Intraqual Premier INC
NPI #1104121466 in Miami Gardens, Florida
Provider Information
- NPI Number
- 1104121466
- Entity Type
- Organization
- Organization Name
- Intraqual Premier INC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jan 18, 2011
- Last Updated
- Jan 18, 2011
Practice Location
- Address
- 19117 NW 33RD AVE
- City
- Miami Gardens
- State
- Florida
- ZIP Code
- 33056-7406
- Phone
- (305) 621-1051
Authorized Official
- Name
- MS. TIFFANY GORDON
- Title
- ADMINISTRATOR
- Phone
- (305) 724-1974
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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