Organization
INTERIM HEALTHCARE OF SE INDIANA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS J DIMARCO (CEO)
(614) 436-9404
Entity
Organization
Contact information
Practice address
3200 N NATIONAL RD, COLUMBUS, IN 47201-3166
(812) 799-1846
(812) 799-1848
Mailing address
3200 N NATIONAL RD, COLUMBUS, IN 47201-3166
(812) 799-1846
(812) 799-1848
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
05-003257-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000346938
ANTHEM
IN
05
—
200424030
—
IN
05
—
200468700
—
IN
Enumeration date
03/09/2006
Last updated
08/16/2024
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