# INTERIM HEALTHCARE SAN DIEGO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Interim Healthcare San Diego Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891737078
- **Authorized official:** PATRICIA MCGILLAN (GENERAL COUNSEL CHIEF COMPLIANCE OF)
- **Authorized official phone:** (301) 956-5087

## Contact information

- **Practice address:** 5625 RUFFIN RD, SUITE 225, SAN DIEGO, CA 92123-1395
- **Practice address phone:** (858) 576-9501
- **Practice address fax:** (858) 576-1581
- **Mailing address:** 1551 SAWGRASS CORPORATE PKWY STE 230, SUNRISE, FL 33323-2832
- **Mailing address phone:** (800) 338-7786

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 080000335 | CA | Yes |

## Other

- **Enumeration date:** 06/12/2006
- **Last updated:** 10/17/2023