Healthcare Provider Details

I. General information

NPI: 1720203821
Provider Name (Legal Business Name): LIMESTONE MEDICAL AID UNIT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 11/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1941 LIMESTONE RD SUITE 114
WILMINGTON DE
19808-5400
US

IV. Provider business mailing address

PO BOX 5027
WILMINGTON DE
19808-0027
US

V. Phone/Fax

Practice location:
  • Phone: 302-992-0500
  • Fax: 302-993-2444
Mailing address:
  • Phone: 302-992-0500
  • Fax: 302-993-2444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: THOMAS MULHERN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 302-992-9831