Healthcare Provider Details

I. General information

NPI: 1588420160
Provider Name (Legal Business Name): CAROLINE ANN COLE RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2024
Last Update Date: 02/22/2024
Certification Date: 02/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26351 PATRIOTS WAY
GEORGETOWN DE
19947-2575
US

IV. Provider business mailing address

26779 MASTERS WAY
SEAFORD DE
19973-4429
US

V. Phone/Fax

Practice location:
  • Phone: 302-933-3000
  • Fax:
Mailing address:
  • Phone: 443-880-3920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279S1500X
TaxonomySNF/Subacute Care Registered Respiratory Therapist
License NumberC9-0011662
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: