Healthcare Provider Details

I. General information

NPI: 1700940459
Provider Name (Legal Business Name): DELAWARE HEALTH AND SOCIAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 N BROAD ST
MIDDLETOWN DE
19709-1002
US

IV. Provider business mailing address

214 N BROAD ST
MIDDLETOWN DE
19709-1002
US

V. Phone/Fax

Practice location:
  • Phone: 302-378-5200
  • Fax: 302-378-5202
Mailing address:
  • Phone: 302-378-5200
  • Fax: 302-378-5202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License NumberLH-0000128
License Number StateDE

VIII. Authorized Official

Name: MRS. LINDA J KURRY
Title or Position: WOMEN'S HEALTH NURSE PRACTITIONER
Credential: NP
Phone: 302-378-5200