Organization
CARE AT HOME OF DELAWARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORRIS PETERZELL D.O. (PRESIDENT)
(302) 442-3600
Entity
Organization
Contact information
Practice address
20 MONTCHANIN RD STE 50, WILMINGTON, DE 19807-2179
(302) 502-7138
Mailing address
20 MONTCHANIN RD STE 50, WILMINGTON, DE 19807-2179
(302) 502-7138
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
MEDICAID MCO'S
DE
Enumeration date
08/26/2019
Last updated
08/15/2024
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