Healthcare Provider Details
I. General information
NPI: 1972104107
Provider Name (Legal Business Name): LEAN ON ME CAREGIVING
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/04/2020
Last Update Date: 11/04/2020
Certification Date: 11/04/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1277 S GOVERNORS AVE
DOVER DE
19904-4801
US
IV. Provider business mailing address
1277 S GOVERNORS AVE
DOVER DE
19904-4801
US
V. Phone/Fax
- Phone: 302-232-3113
- Fax:
- Phone: 302-232-3113
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LAURA
GAROFOLI
Title or Position: DIRECTO
Credential: RN
Phone: 302-232-3113