Provider Demographics
NPI:1912541335
Name:INTEGRITY HEALTH
Entity type:Organization
Organization Name:INTEGRITY HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MASSAGE THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJMAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-752-0252
Mailing Address - Street 1:537 BLACKBURN DR
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:GA
Mailing Address - Zip Code:30907-8203
Mailing Address - Country:US
Mailing Address - Phone:762-233-1546
Mailing Address - Fax:
Practice Address - Street 1:537 BLACKBURN DR
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:GA
Practice Address - Zip Code:30907-8203
Practice Address - Country:US
Practice Address - Phone:762-233-1546
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-29
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty