Healthcare Provider Details

I. General information

NPI: 1285560151
Provider Name (Legal Business Name): FIRST STATE HOME PT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24371 CALDWELL CIR
LEWES DE
19958-5396
US

IV. Provider business mailing address

24371 CALDWELL CIR
LEWES DE
19958-5396
US

V. Phone/Fax

Practice location:
  • Phone: 856-979-1986
  • Fax:
Mailing address:
  • Phone: 856-979-1986
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. HOWARD R TURETZKY
Title or Position: MEMBER
Credential:
Phone: 856-979-1986