Healthcare Provider Details

I. General information

NPI: 1033163712
Provider Name (Legal Business Name): DELAWARE HOSPICE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 02/29/2024
Certification Date: 02/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 PATRIOTS WAY
MILFORD DE
19963
US

IV. Provider business mailing address

16 POLLY DRUMMOND CENER, 2ND FLOOR POLLY DRUMMOND SHOPPING CENTER
NEWALK DE
19711
US

V. Phone/Fax

Practice location:
  • Phone: 302-856-7717
  • Fax:
Mailing address:
  • Phone: 302-479-2577
  • Fax: 302-478-7517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License NumberHSPC003
License Number StateDE

VIII. Authorized Official

Name: SUSAN D LLOYD
Title or Position: CEO
Credential:
Phone: 302-479-2577