Provider Demographics
NPI:1033124870
Name:INTERIM ASSISTED CARE OF NORTHERN CALIFORNIA, INC.
Entity Type:Organization
Organization Name:INTERIM ASSISTED CARE OF NORTHERN CALIFORNIA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SEAWRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-221-1212
Mailing Address - Street 1:2608 VICTOR AVE
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-1447
Mailing Address - Country:US
Mailing Address - Phone:530-221-1300
Mailing Address - Fax:530-221-0389
Practice Address - Street 1:2608 VICTOR AVE
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-1447
Practice Address - Country:US
Practice Address - Phone:530-221-1300
Practice Address - Fax:530-221-0389
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INTERIM ASSISTED CARE OF NORTHERN CALIFORNIA, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-30
Last Update Date:2009-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health