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Organization
INTERIM HEALTH CARE SRVCS, INC.
Active
Organization
INTERIM HEALTH CARE SRVCS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ZESHONSKI (ASST. ADMINISTRATOR)
(570) 489-6781
Entity
Organization
Contact information
Practice address
200 3RD ST, FIRST FLOOR, BLAKELY, PA 18447-1017
(570) 883-9773
(570) 883-9779
Mailing address
200 3RD ST, FIRST FLOOR, BLAKELY, PA 18447-1017
(570) 883-9773
(570) 883-9779
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
251E00000X
Home Health Agency
Primary
745705
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000044970007
—
PA
01
—
397457
BLUE CROSS OF NEPA
PA
Enumeration date
10/18/2006
Last updated
03/26/2025
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