Organization
PENINSULA HOME CARE AT NANTICOKE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD WIEBUSCH (VICE PRESIDENT)
(704) 731-2403
Entity
Organization
Contact information
Practice address
10252 STONE CREEK DR UNIT 3, LAUREL, DE 19956-4706
(302) 691-9898
Mailing address
2459 WILKINSON BLVD STE 120, CHARLOTTE, NC 28208-5669
(704) 831-5059
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
087036
DE
Other
Enumeration date
01/21/2006
Last updated
05/05/2025
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