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General NPI Number Information
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NPI Number | 1235294380
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Entity Type | Organization
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Legal Business Name | INTERIM HEALTHCARE OF DELAWARE LLC
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 340 N HIGH STREET EXTENDED
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City | SMYRNA
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State | DE
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Zip | 19977-1183
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Country | US
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Telephone | 302-322-2743
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Fax | 302-328-5086
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Provider Business Mailing Address
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Address Line | 92 READS WAY UNIT 108
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City | NEW CASTLE
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State | DE
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Zip | 19720-1631
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Country | US
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Telephone | 302-322-2743
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Fax | 302-328-5086
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. NICHOLAS ANTHONY MANNINO JR.
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Credential |
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Telephone | 302-322-2743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HHAS-029A
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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License Number State |
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