Provider Demographics
NPI:1275964413
Name:HORSLEY ENTERPRISES LLC
Entity Type:Organization
Organization Name:HORSLEY ENTERPRISES LLC
Other - Org Name:THE WELLNESS JUNCTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RANDAL
Authorized Official - Middle Name:L
Authorized Official - Last Name:HORSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:302-934-7350
Mailing Address - Street 1:28253 DUPONT BLVD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MILLSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19966-1223
Mailing Address - Country:US
Mailing Address - Phone:302-934-7350
Mailing Address - Fax:302-934-7319
Practice Address - Street 1:28253 DUPONT BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-1223
Practice Address - Country:US
Practice Address - Phone:302-934-7350
Practice Address - Fax:302-934-7319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-12
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE2013604635261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center