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General NPI Number Information
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NPI Number | 1508923863
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Entity Type | Organization
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Legal Business Name | INTERIM HEALTHCARE MANAGED SERVICES
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 04/11/2008
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Provider Practice Location Address
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Address Line | 1873 BRUNSWICK AVENUE
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City | TRENTON
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State | NJ
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Zip | 08638-0043
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Country | US
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Telephone | 609-393-4545
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Fax | 609-989-8873
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Provider Business Mailing Address
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Address Line | 76 W PARK CENTER-76 W JIMMIE LEEDS ROAD
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City | ABSECON
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State | NJ
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Zip | 08201
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Country | US
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Telephone | 609-748-5101
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Fax | 609-748-9711
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Authorized Official
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Title or Position | VICE PRESIDENT OF OPERATIONS
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Name | MRS. JACQUELINE BARTORELLI
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Credential |
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Telephone | 609-393-4545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | HP0101700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HP0101700
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License Number State | NJ
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