Healthcare Provider Details

I. General information

NPI: 1477787745
Provider Name (Legal Business Name): MBS HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2009
Last Update Date: 05/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 N WEST ST SUITE-1200
WILMINGTON DE
19801-1050
US

IV. Provider business mailing address

1000 N WEST ST SUITE-1200
WILMINGTON DE
19801-1050
US

V. Phone/Fax

Practice location:
  • Phone: 610-808-9480
  • Fax: 610-808-9488
Mailing address:
  • Phone: 610-808-9480
  • Fax: 610-808-9488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. PATRICK WHITE JOSEPH
Title or Position: DIRECTOR
Credential:
Phone: 610-808-9480