Healthcare Provider Details

I. General information

NPI: 1285718189
Provider Name (Legal Business Name): AKAN HEALTHCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 CONNOR BLVD
BEAR DE
19701-1742
US

IV. Provider business mailing address

310 CONNOR BLVD
BEAR DE
19701-1742
US

V. Phone/Fax

Practice location:
  • Phone: 302-832-3448
  • Fax: 302-832-3248
Mailing address:
  • Phone: 302-832-3448
  • Fax: 302-832-3248

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number2004206121
License Number StateDE

VIII. Authorized Official

Name: UTONNE JOHN UMOH
Title or Position: DIRECTOR
Credential: RN
Phone: 302-832-3448