MEDICARE: IMPERIAL HEALTHCARE SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1447833389
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IMPERIAL HEALTHCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	41 KIRKCALDY LN
Second Line	:
City	:	MIDDLETOWN
State	:	DE
Zip	:	19709-8740
Country	:	US
Telephone Number	:	410-546-4659
Fax Number	:	410-546-4673

Provider Business Practice Location Address
First Line	:	601 E NAYLOR MILL RD UNIT F
Second Line	:
City	:	SALISBURY
State	:	MD
Zip	:	21804-2256
Country	:	US
Telephone Number	:	410-546-4659
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	EMELDA NJEI
Credential	:
Telephone Number	:	443-253-5533

Provider Enumeration Date	:	04/29/2021
Last Update Date	:	08/27/2021

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Directions to “IMPERIAL HEALTHCARE SERVICES LLC ” Practice Location

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