MEDICARE: INTERIM HEALTHCARE OF NJ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1083865331
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERIM HEALTHCARE OF NJ

Provider Business Mailing Address
First Line	:	3525 QUAKERBRIDGE RD
Second Line	:	SUITE 1200
City	:	HAMILTON
State	:	NJ
Zip	:	08619-1266
Country	:	US
Telephone Number	:	609-584-0251
Fax Number	:

Provider Business Practice Location Address
First Line	:	3525 QUAKERBRIDGE RD
Second Line	:	SUITE 1200
City	:	HAMILTON
State	:	NJ
Zip	:	08619-1266
Country	:	US
Telephone Number	:	609-584-0251
Fax Number	:

Authorized Official
Title or Position	:	REGIONAL DIRECTOR
Name	:	JACQUELINE BARTORELLI
Credential	:
Telephone Number	:	856-783-0312

Provider Enumeration Date	:	10/06/2008
Last Update Date	:	10/06/2008

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