Organization
INTERIM HEALTH CARE SRVCS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL ZESHONSKI SR. (PRESIDENT)
(570) 489-6781
Entity
Organization
Contact information
Practice address
5925 TILGHMAN ST, SUITE 150, ALLENTOWN, PA 18104-9159
(610) 434-7277
Mailing address
200 3RD ST, BLAKELY, PA 18447-1017
(570) 489-6781
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
720205
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000044970017
—
PA
01
—
1767
HIGHMARK BLUE SHIELD
PA
01
—
397202
CAPITAL BLUE CROSS
PA
Enumeration date
05/16/2006
Last updated
04/06/2011
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