Provider Demographics
NPI:1952393290
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:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MRS
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 1:2526 WARD BLVD
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-1600
Practice Address - Country:US
Practice Address - Phone:252-243-7808
Practice Address - Fax:252-243-7385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-22
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC1019251E00000X
NCHC0326251E00000X
NCHC0333251E00000X
NCHC0267251E00000X
NCHC0025251E00000X
NCHC0269251E00000X
NCHC1703251E00000X
NCHC0293251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6600541Medicaid
NC6600916Medicaid
NC7100022Medicaid
NC2408385Medicaid
NC7100300Medicaid
NC7100302Medicaid
NC7100469Medicaid
NC6600127Medicaid
NC7100299Medicaid
NC6600125Medicaid
NC6600128Medicaid
NC7100301Medicaid
NC6600124Medicaid
NC6600543Medicaid
NC7100298Medicaid
NC6600126Medicaid
NC7100303Medicaid