| NPI | 1841632429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA MOORE Administrator 302-325-3110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251F00000X Home Infusion (Licence: 2004202307) |
| Additional Taxonomies | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: DE l10026348) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2014-02-10 |