Christianacare Health Systems

NPI 1104164524 - Clinic/Center - 261QC1500X

NPI Details
NPI 1104164524
Enumeration Date 01/18/2013
Last Updated 01/18/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name CHRISTOPHER CHRISTOPHER
Position NURSE PRACTITIONER
Phone (302) 653-1906
Fax
Practice Location
100 SUNNYSIDE RD 3RD FLOOR PRICKETT SOUTH
SMYRNA DE, 19977, US
Phone (302) 653-1906
Fax
Business Location
DELAWARE 100 SUNNY SIDE RD
HOME FOR THE CHRONICALLY ILL
SMYRNA DE, 19977, US
Phone
Fax
Toxanomy
Taxonomy Code 261QC1500X
License State Delaware
License Number LB0000164
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According to our database, Christianacare Health Systems NPI is 1104164524, taxonomy code is 261QC1500X and license number is LB0000164, license state is located at Delaware. Christianacare Health Systems physically located at 100 Sunnyside Rd 3rd Floor Prickett South, Smyrna DE, 19977. NPI Number 1033115704 has the healthcare provider type.

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1104164524 NPI number is provided on an as is basis without warranty of any kind. 1104164524 is maintained by the National Plan & Provider Enumeration System. The contents of Christianacare Health Systems are for informational purposes only.