Provider Demographics
NPI:1871849224
Name:INTERIM HEALTH CARE
Entity Type:Organization
Organization Name:INTERIM HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSING RECRUITER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:BELFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-689-8920
Mailing Address - Street 1:6510 108TH ST APT 5G
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-1827
Mailing Address - Country:US
Mailing Address - Phone:347-809-1517
Mailing Address - Fax:
Practice Address - Street 1:6510 108TH ST APT 5G
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-1827
Practice Address - Country:US
Practice Address - Phone:347-809-1517
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-02
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY592627313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility