# PRINCIPAL HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Interim Healthcare Home Health of North Attleboro, MA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144095126
- **Authorized official:** MR. STEVEN FAIRLEY JR. (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (774) 563-3785

## Contact information

- **Practice address:** 51 MAN MAR DR UNIT 4, PLAINVILLE, MA 02762-2272
- **Practice address phone:** (774) 563-3785
- **Mailing address:** 51 MAN MAR DR UNIT 4, PLAINVILLE, MA 02762-2272
- **Mailing address phone:** (774) 563-3785

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251F00000X | Home Infusion Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 302R00000X | Health Maintenance Organization | — | NULL | — |
| 305R00000X | Preferred Provider Organization | — | NULL | — |

## Other

- **Enumeration date:** 11/20/2023
- **Last updated:** 11/20/2023