Organization Name: | GUAVA HOMECARE, INC |
NPI Number: | 1043577976 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY S SCHREIBER (CEO) |
Mailing Address: | 407 Valley Brook Dr Hockessin |
State: | DE US |
Postal Code: | 197079113 |
Phone Number: | 3023996389 |
Fax Number: | 3024824300 |
NPI Enumeration Date: | 04/17/2012 |
NPI Last Update Date: | 04/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1100X |
License Number: | HHAAO0022 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DE |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Military/U.S. Coast Guard Outpatient |
Taxonomy Definition: | The Defense Health Program or U.S. Coast Guard funded |