Healthcare Provider Details

I. General information

NPI: 1821361072
Provider Name (Legal Business Name): DELAWARE HOSPICE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2012
Last Update Date: 02/29/2024
Certification Date: 02/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 CHURCHMANS RD STE 200
NEWARK DE
19702-1944
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 302-478-5707
  • Fax: 302-478-7517
Mailing address:
  • Phone: 302-479-2577
  • Fax: 302-478-7517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

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