Healthcare Provider Details

I. General information

NPI: 1396371498
Provider Name (Legal Business Name): FREE AND ABEL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2020
Last Update Date: 03/20/2020
Certification Date: 03/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3411 SILVERSIDE RD # 104-242
WILMINGTON DE
19810-4812
US

IV. Provider business mailing address

811 AUGUSTA RD
WILMINGTON DE
19807-2805
US

V. Phone/Fax

Practice location:
  • Phone: 302-893-3801
  • Fax: 302-966-3046
Mailing address:
  • Phone: 302-893-3801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH ABEL
Title or Position: OWNER
Credential: LDN
Phone: 302-893-3801