# PREMISE HEALTH OF DELAWARE MEDICAL PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mountaire Health and Wellness Center Selbyville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205236882
- **Authorized official:** EDWARD WILLIAM SCHWARTZ (PRESIDENT)
- **Authorized official phone:** (844) 407-7557

## Contact information

- **Practice address:** 85 HOSIER ST, SELBYVILLE, DE 19975-9300
- **Practice address phone:** (302) 524-1015
- **Practice address fax:** (302) 436-6117
- **Mailing address:** 5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/02/2014
- **Last updated:** 02/03/2026