Healthcare Provider Details

I. General information

NPI: 1083865331
Provider Name (Legal Business Name): INTERIM HEALTHCARE OF NJ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2008
Last Update Date: 10/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 QUAKERBRIDGE RD SUITE 1200
HAMILTON NJ
08619-1266
US

IV. Provider business mailing address

3525 QUAKERBRIDGE RD SUITE 1200
HAMILTON NJ
08619-1266
US

V. Phone/Fax

Practice location:
  • Phone: 609-584-0251
  • Fax:
Mailing address:
  • Phone: 609-584-0251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JACQUELINE BARTORELLI
Title or Position: REGIONAL DIRECTOR
Credential:
Phone: 856-783-0312