Healthcare Provider Details

I. General information

NPI: 1891986642
Provider Name (Legal Business Name): ATI HOLDINGS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2007
Last Update Date: 08/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1812 MARSH RD STE 505
WILMINGTON DE
19810-4581
US

IV. Provider business mailing address

1812 MARSH RD STE 505
WILMINGTON DE
19810-4581
US

V. Phone/Fax

Practice location:
  • Phone: 302-475-7500
  • Fax: 302-475-5787
Mailing address:
  • Phone: 302-793-1800
  • Fax: 302-793-0800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StateDE

VIII. Authorized Official

Name: FRANKLIN ROOKS JR.
Title or Position: SECRETARY
Credential: PT
Phone: 302-793-1800