Provider Demographics
NPI:1679687693
Name:SIMPLY YOU INC
Entity Type:Organization
Organization Name:SIMPLY YOU INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:E
Authorized Official - Last Name:FIERRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-652-2911
Mailing Address - Street 1:1601 CONCORD PIKE
Mailing Address - Street 2:SUITE 63
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-3623
Mailing Address - Country:US
Mailing Address - Phone:302-652-2911
Mailing Address - Fax:302-652-3408
Practice Address - Street 1:1601 CONCORD PIKE
Practice Address - Street 2:SUITE 63
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-3623
Practice Address - Country:US
Practice Address - Phone:302-652-2911
Practice Address - Fax:302-652-3408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0001073816Medicaid
DE0001073816Medicaid