=====================================================
General NPI Number Information
=====================================================
NPI Number | 1770426637
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LAUREL HEALTH SERVICES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/13/2026
-----------------------------------------------------
Last Update Date | 04/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 30214 SUSSEX HWY UNIT 7
-----------------------------------------------------
City | LAUREL
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19956-3880
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-875-5400
-----------------------------------------------------
Fax | 302-875-5900
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 30214 SUSSEX HWY UNIT 7
-----------------------------------------------------
City | LAUREL
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19956-3880
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-875-5400
-----------------------------------------------------
Fax | 302-875-5900
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | TEJAS P SHETH
-----------------------------------------------------
Credential | RPH
-----------------------------------------------------
Telephone | 302-875-5400
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336L0003X
-----------------------------------------------------
Taxonomy Name | Long Term Care Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------