McIntosh Assisted Living
Organization Active NPI Health Maintenance Organization · Micanopy, FL
NPI 1154771905 · NPPES record last updated Jun 13, 2016
Key facts
- NPI
- 1154771905
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Maintenance Organization 302R00000X
- License
- AL10451 (FL)
- Legal business name
- MCINTOSH ASSISTED LIVING
- Practice address
- 5650 NW 219TH Street Rd
Micanopy, FL 32667-7948 - Phone
- (352) 591-2503
- NPI assigned
- Jun 13, 2016
- Organization subpart
- No
Authorized official
- Name
- Dorothy Robinson
- Title
- Owner
- Phone
- (352) 591-2503
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | AL10451 | FL | Yes |
Addresses
Primary practice location
5650 NW 219TH Street Rd
Micanopy, FL 32667-7948
Mailing address
5650 NW 219TH Street Rd
Micanopy, FL 32667-7948
Phone (352) 591-2503
Other providers in Micanopy, FL
- Paula Goldberg
- Lisa Hager
- Kelly Marie Johnston
- Eric Lanham
- Anna Belen Larson
- Mallory Leblanc Pfaffly
- Caroline Roach
- Irina Shlain
- Snickers&Giggles
All providers in Micanopy, FL · Health Maintenance Organization in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.