Healthcare Provider Details

I. General information

NPI: 1619034873
Provider Name (Legal Business Name): CARING FOR LIFE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 01/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2702 CAPITOL TRL
NEWARK DE
19711-6814
US

IV. Provider business mailing address

2702 CAPITOL TRL
NEWARK DE
19711-6814
US

V. Phone/Fax

Practice location:
  • Phone: 302-892-2214
  • Fax: 302-892-2217
Mailing address:
  • Phone: 302-892-2214
  • Fax: 302-892-2217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number
License Number StateDE

VIII. Authorized Official

Name: SHARON POWELL
Title or Position: DIRECTOR
Credential:
Phone: 302-892-2214