| Perrykel Health Services Llc | |
|
1 Wood Stork Ct Middletown DE 19709-2204 | |
| (978) 726-2878 | |
| Not Available |
| Full Name | Perrykel Health Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Wood Stork Ct, Middletown, Delaware |
| Authorized Official Name and Position | Immaculate Mbony (PROVIDER) |
| Authorized Official Contact | 9787262878 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Perrykel Health Services Llc 1 Wood Stork Ct Middletown DE 19709-2204 Ph: () - | Perrykel Health Services Llc 1 Wood Stork Ct Middletown DE 19709-2204 Ph: (978) 726-2878 |
| NPI Number | 1568237972 |
|---|---|
| Provider Enumeration Date | 11/16/2023 |
| Last Update Date | 11/16/2023 |
| Certification Date | 11/16/2023 |
| Medicare PECOS PAC ID | 7911342969 |
|---|---|
| Medicare Enrollment ID | O20240229000822 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568237972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Immaculate Mbony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043804990 PECOS PAC ID: 2365897733 Enrollment ID: I20231005001320 |
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