Organization
INTERIM HEALTHCARE SAN DIEGO LLC
Active
Other names
Interim Healthcare San Diego Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA MARY MCGILLAN (GENERAL COUNSEL CHIEF COMPLIANCE OF)
(301) 956-5087
Entity
Organization
Contact information
Practice address
425 W 5TH AVE, SUITE 101, ESCONDIDO, CA 92025-4843
(760) 432-9811
(760) 739-1366
Mailing address
425 W 5TH AVE, SUITE 101, ESCONDIDO, CA 92025-4843
(760) 432-9811
(760) 739-1366
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
080000395
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA57418F
—
CA
Enumeration date
06/17/2006
Last updated
10/17/2023
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