Organization
INTERIM HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYSHIRA ELYSE DEAN (LPN)
(585) 478-2942
Entity
Organization
Contact information
Practice address
347 EAST AVE, ROCHESTER, NY 14604-2617
(585) 454-4930
Mailing address
121 KITTLEBERGER PARK, 2, WEBSTER, NY 14580-3035
(585) 748-2942
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
259459-1
NY
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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