Healthcare Provider Details
I. General information
NPI: 1134710502
Provider Name (Legal Business Name): CARING HANDS PHLEBOTOMY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/28/2021
Last Update Date: 12/04/2021
Certification Date: 12/04/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
301 6TH AVE
WILMINGTON DE
19805-4715
US
IV. Provider business mailing address
301 6TH AVE
WILMINGTON DE
19805-4715
US
V. Phone/Fax
- Phone: 302-559-5539
- Fax: 302-482-1359
- Phone: 302-559-5539
- Fax: 302-482-1359
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QH0100X |
| Taxonomy | Health Service Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 291U00000X |
| Taxonomy | Clinical Medical Laboratory |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DENARA
ASHLEY
CHARLES
Title or Position: OWNER
Credential:
Phone: 302-559-6862