Healthcare Provider Details

I. General information

NPI: 1386553642
Provider Name (Legal Business Name): ENITET HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

254 CHAPMAN RD STE 208-28331
NEWARK DE
19702
US

IV. Provider business mailing address

254 CHAPMAN RD STE 208-28331
NEWARK DE
19702
US

V. Phone/Fax

Practice location:
  • Phone: 888-252-0106
  • Fax:
Mailing address:
  • Phone: 888-252-0106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: REGINALD TYRONE FORD
Title or Position: CEO
Credential:
Phone: 205-565-4900