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NPI Code Detail

MEDICARE: LIESKE E2E HOME HEALTH CARE INC

MEDICARE: LIESKE E2E HOME HEALTH CARE INC
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
1251E00000XHome Health Agency2009602420DE

General Provider Information

NPI Number : 1679704274
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIESKE E2E HOME HEALTH CARE INC
Provider Business Mailing Address
First Line : 53 MEADOW DR
Second Line :
City : MIDDLETOWN
State : DE
Zip : 19709-4103
Country : US
Telephone Number : 302-898-1563
Fax Number :
Provider Business Practice Location Address
First Line : 53 MEADOW DR
Second Line :
City : MIDDLETOWN
State : DE
Zip : 19709-4103
Country : US
Telephone Number : 302-898-1563
Fax Number : 888-330-8395
Authorized Official
Title or Position : PRESIDENT
Name : MRS. JACQUELINE J LIESKE
Credential :
Telephone Number : 302-898-1563
Provider Enumeration Date : 07/30/2009
Last Update Date : 07/06/2010

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