OrganizationActive
Mcintosh Assisted Living
NPI 1154771905 · Health Maintenance Organization · Micanopy, FL
Provider details
- NPI number
- 1154771905
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Dorothy Robinson, Owner(352) 591-2503
- License
- AL10451 (FL)
Specialties & taxonomies
Managed Care Organizations
Practice location
5650 Nw 219th Street Rd
Micanopy, FL 32667-7948
Phone: (352) 591-2503
Approximate (ZIP-level) locationGet directions
Mailing address
5650 Nw 219th Street Rd
Micanopy, FL 32667-7948
Registry dates
- Enumerated
- 2016-06-13
- Last updated
- 2016-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.