| NPI | 1497506968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY RIESEN Corporate Director Of Revenue Cycle 302-623-7168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-04-01 |