Organization
INTERMED HEALTH CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA BOTEZAT (PRESIDENT)
(770) 722-3565
Entity
Organization
Contact information
Practice address
2652 CONEY ISLAND AVE, BROOKLYN, NY 11223-5504
(718) 406-0133
Mailing address
PO BOX 767547, ROSWELL, GA 30076-7547
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
044-R-0427
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028698723
—
GA
Enumeration date
07/03/2012
Last updated
07/03/2012
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