Provider Demographics
NPI:1407110224
Name:EDLYNCARE LLC
Entity Type:Organization
Organization Name:EDLYNCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:KWAKYE
Authorized Official - Last Name:AGYAPONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-474-0486
Mailing Address - Street 1:261 ANN DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-2605
Mailing Address - Country:US
Mailing Address - Phone:267-474-0486
Mailing Address - Fax:
Practice Address - Street 1:261 ANN DR
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-2605
Practice Address - Country:US
Practice Address - Phone:267-474-0486
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-26
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE2012600764251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health