Healthcare Provider Details

I. General information

NPI: 1952052318
Provider Name (Legal Business Name): WILMINGTON VACCINES AND HEALTH SERVICES FRANCHISING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2022
Last Update Date: 01/17/2022
Certification Date: 01/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 SOUTH ST
TOWNSEND DE
19734-7714
US

IV. Provider business mailing address

274 LIBORIO DR
MIDDLETOWN DE
19709-3109
US

V. Phone/Fax

Practice location:
  • Phone: 302-252-7279
  • Fax:
Mailing address:
  • Phone: 302-252-7279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID FREDRICK AMAKOBE
Title or Position: PRESIDENT & CEO
Credential:
Phone: 302-252-7279