| PROVIDER | NAME | ||||||||
| 008501 | INTERIM HEALTHCARE | ||||||||
| Unit | S/A | ||||||||
| Srvc Cat | Service Desc | RU | FS | PA | Eff Date | Lap Date | Rate | Descr | Code |
| 15560000 | HOUSE SUP/SUP LIVING | 5038 | 38 | Y | 7/1/2001 | 06/30/10 | 17.85 | Hour | 1556 |
| 15590000 | HS/SL (LPN) INTERIM | 5038 | 38 | Y | 7/1/2001 | 06/30/10 | 21.70 | HOUR | 1559 |
| 15590000 | HS/SL (LPN) INTERIM | 5035 | 35 | Y | 7/1/2001 | 06/30/10 | 21.70 | HOUR | 1559 |
| 15620000 | INTERIM HS/SL (RN) | 5038 | 38 | Y | 7/1/2001 | 06/30/10 | 25.00 | HOUR | 1562 |