Provider Demographics
NPI:1104079482
Name:INTERIM HEALTHCARE SERVICES, INC.
Entity type:Organization
Organization Name:INTERIM HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST. ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZESHONSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-489-6781
Mailing Address - Street 1:200 3RD ST
Mailing Address - Street 2:
Mailing Address - City:BLAKELY
Mailing Address - State:PA
Mailing Address - Zip Code:18447-1017
Mailing Address - Country:US
Mailing Address - Phone:570-489-6781
Mailing Address - Fax:
Practice Address - Street 1:200 3RD ST
Practice Address - Street 2:
Practice Address - City:BLAKELY
Practice Address - State:PA
Practice Address - Zip Code:18447-1017
Practice Address - Country:US
Practice Address - Phone:570-489-6781
Practice Address - Fax:570-489-1090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-30
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA745705251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care