# INTERIM PERSONAL CARE AND SUPPORT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Interim Personal Care and Support LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568989473
- **Authorized official:** NICHOLAS A MANNINO JR. (PRESIDENT)
- **Authorized official phone:** (302) 322-2743

## Contact information

- **Practice address:** 340 N HIGH STREET EXTENDED, SMYRNA, DE 19977-1183
- **Practice address phone:** (302) 322-2743
- **Practice address fax:** (302) 328-5086
- **Mailing address:** 340 N HIGH STREET EXTENDED, SMYRNA, DE 19977-1183
- **Mailing address phone:** (302) 322-2743
- **Mailing address fax:** (302) 328-5086

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | PASA054 | DE | Yes |

## Other

- **Enumeration date:** 08/23/2017
- **Last updated:** 09/03/2025
