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Organization

INTERIM HEALTHCARE OF NORTH HAVEN, INC.

Active
Other names
Interim HealthCare
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ERIC ROBERT PETERSEN (PRESIDENT)
(203) 230-4785
Entity
Organization

Contact information

Practice address
278 STATE ST, NORTH HAVEN, CT 06473-2154
(203) 230-4785
(203) 230-4791
Mailing address
278 STATE ST, NORTH HAVEN, CT 06473-2154
(203) 230-4785
(203) 230-4791

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0006
CT
332U00000X
Home Delivered Meals
0006
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004221545
CT
05
004222759
CT
Enumeration date
01/16/2006
Last updated
07/13/2007
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