# CHRISTIANA CARE HEALTH SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHRISTIANA CARE HEALTH SERVICES INC.
- **Other names:** CCHS Diabetes & Metabolic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407830748
- **Legal business name:** CHRISTIANA CARE HEALTH SERVICES INC.
- **Authorized official:** MR. ROBERT W MCMURRAY JR. (CFO)
- **Authorized official phone:** (302) 428-2522

## Contact information

- **Practice address:** 3506 KENNETT PIKE, WILMINGTON, DE 19807-3019
- **Practice address phone:** (302) 661-3070
- **Practice address fax:** (302) 066-1308
- **Mailing address:** PO BOX 30170, WILMINGTON, DE 19805-7170
- **Mailing address phone:** (302) 623-7019
- **Mailing address fax:** (302) 623-7009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/30/2005
- **Last updated:** 09/29/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1407830748 | — | DE |