Provider Demographics
NPI:1801002878
Name:INTERIM HEALTHCARE - MORRIS GROUP INC
Entity Type:Organization
Organization Name:INTERIM HEALTHCARE - MORRIS GROUP INC
Other - Org Name:
Other - Org Type:
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 1:413 BECKER DR
Practice Address - Street 2:
Practice Address - City:ROANOKE RAPIDS
Practice Address - State:NC
Practice Address - Zip Code:27870-3301
Practice Address - Country:US
Practice Address - Phone:252-537-1500
Practice Address - Fax:252-537-3348
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INTERIM HEALTHCARE - MORRIS GROUP INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-15
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC0326251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6600126Medicaid