# INTERIM HEALTHCARE OF SOUTHERN CONNECTICUT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043583966
- **Authorized official:** BONNIE BRODY (PRESIDENT)
- **Authorized official phone:** (203) 810-8829

## Contact information

- **Practice address:** 5 MYRTLE ST, 2ND FLOOR, NORWALK, CT 06855-1315
- **Practice address phone:** (203) 956-7555
- **Practice address fax:** (203) 956-7557
- **Mailing address:** 5 MYRTLE ST, 2ND FLOOR, NORWALK, CT 06855-1315
- **Mailing address phone:** (203) 956-7555
- **Mailing address fax:** (203) 956-7557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/23/2012
- **Last updated:** 02/23/2012
