MEDICARE: EMERGING DELAWARE

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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1881487940
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMERGING DELAWARE

Provider Business Mailing Address
First Line	:	1110 N BROOM ST
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19806-4315
Country	:	US
Telephone Number	:	302-332-5223
Fax Number	:

Provider Business Practice Location Address
First Line	:	1401 PENNSYLVANIA AVE STE 102
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19806-4125
Country	:	US
Telephone Number	:	302-332-5223
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	THAIS GRECA
Credential	:
Telephone Number	:	302-332-5223

Provider Enumeration Date	:	05/22/2025
Last Update Date	:	05/22/2025

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Directions to “EMERGING DELAWARE ” Practice Location

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