Healthcare Provider Details

I. General information

NPI: 1437396074
Provider Name (Legal Business Name): GRISWOLD SPECIAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2009
Last Update Date: 01/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1915 KIRKWOOD HWY
NEWARK DE
19711-5725
US

IV. Provider business mailing address

1915 KIRKWOOD HWY
NEWARK DE
19711-5725
US

V. Phone/Fax

Practice location:
  • Phone: 302-456-9904
  • Fax: 302-456-9905
Mailing address:
  • Phone: 302-456-9904
  • Fax: 302-456-9905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number5
License Number StateDE

VIII. Authorized Official

Name: MARYANNE MURRAY
Title or Position: DIRECTOR
Credential:
Phone: 302-456-9904