Healthcare Provider Details

I. General information

NPI: 1841128287
Provider Name (Legal Business Name): FRESENIUS MEDICAL CARE SOUTHERN DELAWARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17623 SHADY RD STE 101
LEWES DE
19958-6248
US

IV. Provider business mailing address

17623 SHADY RD STE 101
LEWES DE
19958-6248
US

V. Phone/Fax

Practice location:
  • Phone: 302-827-9170
  • Fax: 302-586-4601
Mailing address:
  • Phone: 302-827-9170
  • Fax: 302-586-4601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0700X
TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BARRY BLANTON
Title or Position: VICE PRESIDENT
Credential:
Phone: 781-676-5200