Provider Demographics
NPI:1407931579
Name:INTERIM HEALTHCARE SERVICES INC.
Entity Type:Organization
Organization Name:INTERIM HEALTHCARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-354-5550
Mailing Address - Street 1:4130 GALLIA ST
Mailing Address - Street 2:
Mailing Address - City:NEW BOSTON
Mailing Address - State:OH
Mailing Address - Zip Code:45662-5511
Mailing Address - Country:US
Mailing Address - Phone:740-354-5550
Mailing Address - Fax:740-354-5670
Practice Address - Street 1:4130 GALLIA ST
Practice Address - Street 2:
Practice Address - City:NEW BOSTON
Practice Address - State:OH
Practice Address - Zip Code:45662-5511
Practice Address - Country:US
Practice Address - Phone:740-354-5550
Practice Address - Fax:740-354-5670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0996356Medicaid
OH0996356Medicaid