Healthcare Provider Details

I. General information

NPI: 1548035215
Provider Name (Legal Business Name): OZ CREATIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2023
Last Update Date: 11/22/2023
Certification Date: 11/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 BUNTING DR
WILMINGTON DE
19808-1969
US

IV. Provider business mailing address

101 BUNTING DR
WILMINGTON DE
19808-1969
US

V. Phone/Fax

Practice location:
  • Phone: 302-559-0810
  • Fax:
Mailing address:
  • Phone: 302-559-0810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: OZ SEATON
Title or Position: PRESIDENT
Credential:
Phone: 302-559-0810