PREMISE HEALTH OF DELAWARE MEDICAL, P.A.

SELBYVILLE, DE
NPI1205236882
Doing Business AsMOUNTAIRE HEALTH AND WELLNESS CENTER SELBYVILLE
Entity TypeOrganization
Authorized ContactJON LEIZMAN
President
216-479-9063
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2014-09-02
Last Update Date2022-08-23
Business Address
PREMISE HEALTH OF DELAWARE MEDICAL, P.A.
85 HOSIER ST
SELBYVILLE, DE 19975-9300
Phone number: 302-524-1015
Mailing Address
PREMISE HEALTH OF DELAWARE MEDICAL, P.A.
5500 MARYLAND WAY STE 120
BRENTWOOD, TN 37027-4993
Phone number: