Provider Demographics
NPI:1144841479
Name:INTELIMAS CORPORATION
Entity type:Organization
Organization Name:INTELIMAS CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:MWANGI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-234-7871
Mailing Address - Street 1:400 W CUMMINGS PARK STE 1725
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-6579
Mailing Address - Country:US
Mailing Address - Phone:857-234-7871
Mailing Address - Fax:
Practice Address - Street 1:500 W CUMMINGS PARK STE 4300
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-6515
Practice Address - Country:US
Practice Address - Phone:781-388-3300
Practice Address - Fax:833-757-2600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-28
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies