Organization
STATE OF DELAWARE
Active
Other names
Seaford Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
HERMAN ELLIS MD (MEDICAL DIRECTOR)
(302) 744-4700
Entity
Organization
Contact information
Practice address
417 FEDERAL ST, DOVER, DE 19901-3635
(302) 744-4849
(302) 739-6627
Mailing address
417 FEDERAL ST, DOVER, DE 19901-3635
(302) 744-4849
(302) 739-6627
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000013817
—
DE
Enumeration date
12/01/2006
Last updated
08/22/2020
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