Provider Demographics
NPI:1992514210
Name:INTEGRITY SERVICE MANAGEMENT, LLC
Entity type:Organization
Organization Name:INTEGRITY SERVICE MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMIKKA
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:SHORTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-620-9934
Mailing Address - Street 1:1191 ROSEWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:ZACHARY
Mailing Address - State:LA
Mailing Address - Zip Code:70791-7335
Mailing Address - Country:US
Mailing Address - Phone:225-620-9934
Mailing Address - Fax:
Practice Address - Street 1:1191 ROSEWAY BLVD
Practice Address - Street 2:
Practice Address - City:ZACHARY
Practice Address - State:LA
Practice Address - Zip Code:70791-7335
Practice Address - Country:US
Practice Address - Phone:225-620-9934
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INTEGRITY SERVICE MANAGEMENT, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-01
Last Update Date:2025-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty