Organization
INTERIM HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAELLE SIMEON 12-17-1974 (LPN)
(845) 321-4196
Entity
Organization
Contact information
Practice address
508 AIRPORT EXECUTIVE PARK, NANUET, NY 10954-5238
(845) 425-2655
Mailing address
413 GREEN MEADOWS WAY, CHESTER, NY 10918-1276
(845) 321-4196
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
561574207
NY
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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