| |
2116 S Dupont Hwy Ste 2 Camden DE 19934-1249 | |
(302) 697-4300 | |
Not Available |
Full Name | |
---|---|
Speciality | Home Health |
Location | 2116 S Dupont Hwy, Camden, Delaware |
Authorized Official Name and Position | Donna Manley (DIRECTOR OF FINANCE) |
Authorized Official Contact | 3023275583 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
One Reads Way Suite 100 New Castle DE 19720-1648 Ph: (302) 327-5200 | 2116 S Dupont Hwy Ste 2 Camden DE 19934-1249 Ph: (302) 697-4300 |
NPI Number | 1841293438 |
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Provider Enumeration Date | 05/27/2005 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 9830098136 |
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Medicare Enrollment ID | O20070125000426 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841293438 | NPI | - | NPPES |
0000172714 | Other | DIAMOND STATE | |
004375 | Other | AMERIHEALTH | |
939 | Other | MID ATLANTIC | |
0000258557 | Medicaid | DE | |
156075 | Other | DE | BLUE CROSS BLUE SHIELD |
236064 | Other | MAMSI | |
0000095614 | Other | DE | DELAWARE PHYSICIANS CARE |
0000142238 | Other | DIAMOND STATE PRIVATE DUT | |
0000172714 | Medicaid | DE | |
0000523571 | Medicaid | DE | |
50627 | Other | US HEALTHCARE | |
531 | Other | COVENTRY HEALTHCARE | |
0000142238 | Medicaid | DE | |
TRI CARE | Other | D000131 | |
0000087055 | Medicaid | DE | |
1929518 | Other | UNITED HLTHCCAE OF MID AT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (Delaware) | Secondary |
251E00000X | Home Health | (Delaware) | Primary |
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