Healthcare Provider Details

I. General information

NPI: 1376845909
Provider Name (Legal Business Name): RRW INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2010
Last Update Date: 12/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12244 WILLOW GROVE RD BUILDING 1
CAMDEN DE
19934-2281
US

IV. Provider business mailing address

PO BOX 39
WYOMING DE
19934-0039
US

V. Phone/Fax

Practice location:
  • Phone: 302-697-6435
  • Fax: 302-698-1797
Mailing address:
  • Phone: 302-697-6435
  • Fax: 302-698-1797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License NumberPASA-003
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberPASA-003
License Number StateDE

VIII. Authorized Official

Name: ROBERT WARE
Title or Position: DIRECTOR/OWNER
Credential:
Phone: 302-697-6435