NPI | 1093358186 |
---|---|
Former Legal Business Name | BRANDYWINE HEALTH CENTER LLC |
Entity Type | Organization |
Authorized Contact | KRISTOPHER SCOTT KONDRAD Owner 302-562-3314 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2019-10-22 |
Last Update Date | 2023-09-06 |