Provider Demographics
NPI:1437300753
Name:INTERIM HEALTHCARE OF NJ
Entity Type:Organization
Organization Name:INTERIM HEALTHCARE OF NJ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTORELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-783-0312
Mailing Address - Street 1:113 WHITE HORSE RD W
Mailing Address - Street 2:UNIT 9
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-3672
Mailing Address - Country:US
Mailing Address - Phone:856-783-0312
Mailing Address - Fax:
Practice Address - Street 1:113 WHITE HORSE RD W
Practice Address - Street 2:UNIT 9
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-3672
Practice Address - Country:US
Practice Address - Phone:856-783-0312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INTERIM HEALTHCARE OF NJ
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-10-06
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health