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Organization

INTERIM PERSONAL CARE AND SUPPORT LLC

Active
Other names
Interim Personal Care and Support LLC
Organization subpart
No

Provider details

NPI number
Authorized official
NICHOLAS A MANNINO JR. (PRESIDENT)
(302) 322-2743
Entity
Organization

Contact information

Practice address
340 N HIGH STREET EXTENDED, SMYRNA, DE 19977-1183
(302) 322-2743
(302) 328-5086
Mailing address
340 N HIGH STREET EXTENDED, SMYRNA, DE 19977-1183
(302) 322-2743
(302) 328-5086

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
PASA054
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
179310168
BUSINESS LICENSE
DE
Enumeration date
08/23/2017
Last updated
09/03/2025
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