Provider Demographics
NPI:1083336036
Name:QUALIBRITE HEALTH LLC
Entity Type:Organization
Organization Name:QUALIBRITE HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IFE
Authorized Official - Middle Name:
Authorized Official - Last Name:MUYIWA-OJO
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:302-485-5551
Mailing Address - Street 1:2810 N CHURCH ST STE 24371
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19802-4447
Mailing Address - Country:US
Mailing Address - Phone:302-485-5551
Mailing Address - Fax:800-536-1322
Practice Address - Street 1:2810 N CHURCH ST STE 24371
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19802-4447
Practice Address - Country:US
Practice Address - Phone:302-485-5551
Practice Address - Fax:800-536-1322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-15
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty