Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nursing Facility Supplies |
332BN1400X | 87 | All Other Suppliers | |
Parenteral & Enteral Nutrition |
332BP3500X | 87 | All Other Suppliers |
| NPI # | 1255364295 |
| LBN Legal business name | INTEGRATED THERAPY SERVICES, INC. |
| Authorized official | DOUGLAS MITTLEIDER - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/09/2006 |
| Last updated | 08/14/2008 - About 18 years ago |
| Identifiers | n/a |
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