Provider Demographics
NPI:1275022592
Name:ENLITEN LLC
Entity Type:Organization
Organization Name:ENLITEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:
Authorized Official - Last Name:COPE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:410-441-4877
Mailing Address - Street 1:210 EXECUTIVE DR STE 5
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-3335
Mailing Address - Country:US
Mailing Address - Phone:410-441-4877
Mailing Address - Fax:
Practice Address - Street 1:210 EXECUTIVE DR STE 5
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-3335
Practice Address - Country:US
Practice Address - Phone:410-441-4877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-02
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment