# PROACTIVE HEALTHCARE SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932583267
- **Authorized official:** MISS RACHEAL CHRISTIANA BUNDOR LPN (PRESIDENT)
- **Authorized official phone:** 18774519944

## Contact information

- **Practice address:** 5700 KIRKWOOD HWY, SUITE 105A, WILMINGTON, DE 19808-4857
- **Practice address phone:** (877) 452-9944
- **Practice address fax:** (302) 370-5002
- **Mailing address:** 5700 KIRKWOOD HWY, SUITE 105 A, WILMINGTON, DE 19808-4857
- **Mailing address phone:** (877) 451-9944
- **Mailing address fax:** (484) 540-8391

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HHAS-059 | DE | Yes |

## Other

- **Enumeration date:** 07/16/2015
- **Last updated:** 07/16/2015