Provider Demographics
NPI:1386923217
Name:INTEGRITY IN-HOME SENIOR CARE LLC
Entity type:Organization
Organization Name:INTEGRITY IN-HOME SENIOR CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-593-7174
Mailing Address - Street 1:736 CENTER DR APT 233
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92069-3585
Mailing Address - Country:US
Mailing Address - Phone:760-593-7174
Mailing Address - Fax:480-772-4373
Practice Address - Street 1:736 CENTER DR APT 233
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92069-3585
Practice Address - Country:US
Practice Address - Phone:760-593-7174
Practice Address - Fax:480-772-4373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-09
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care