Provider Demographics
NPI:1871966820
Name:INTUIT HEALTH LLC
Entity type:Organization
Organization Name:INTUIT HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CHALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-857-6747
Mailing Address - Street 1:335 E LINTON BLVD STE B14-2136
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-5023
Mailing Address - Country:US
Mailing Address - Phone:866-857-6747
Mailing Address - Fax:
Practice Address - Street 1:335 E LINTON BLVD STE B14-2136
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-5023
Practice Address - Country:US
Practice Address - Phone:866-857-6747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-12
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management