Organization Name: | FIRST STATE HOME CARE LLC |
NPI Number: | 1689906836 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TINA POTTS (CEO) |
Mailing Address: | 5205 W Woodmill Dr Suite 33 Lower Level Wilmington |
State: | DE US |
Postal Code: | 198084068 |
Phone Number: | 3026554249 |
Fax Number: | 8884592609 |
NPI Enumeration Date: | 02/12/2010 |
NPI Last Update Date: | 07/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |