Organization
INTERIM HEALTH CARE SERVICES OF NE PA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL ZESHONSKI (PRESIDENT)
(570) 489-6781
Entity
Organization
Contact information
Practice address
200 3RD ST, BLAKELY, PA 18447-1017
(570) 489-6781
Mailing address
200 3RD ST, BLAKELY, PA 18447-1017
(570) 489-6781
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
747705
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011565700003
—
PA
Enumeration date
03/07/2006
Last updated
06/04/2013
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