Provider Demographics
NPI:1366677833
Name:INTERIM HEALTHCARE - MORRIS GROUP, INC.
Entity Type:Organization
Organization Name:INTERIM HEALTHCARE - MORRIS GROUP, INC.
Other - Org Name:INTERIM HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:PILKINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-243-7808
Mailing Address - Street 1:2526 WARD BLVD
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-1600
Mailing Address - Country:US
Mailing Address - Phone:252-243-7808
Mailing Address - Fax:252-243-7385
Practice Address - Street 1:1306 WAYNE MEMORIAL DR
Practice Address - Street 2:SUITE B
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-2257
Practice Address - Country:US
Practice Address - Phone:919-735-8665
Practice Address - Fax:919-734-6463
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INTERIM HEALTHCARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-05-27
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3689251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6601825Medicaid