Provider Demographics
NPI:1679704274
Name:LIESKE E2E HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:LIESKE E2E HOME HEALTH CARE INC
Other - Org Name:SHORECARE OF DELAWARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:J
Authorized Official - Last Name:LIESKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-898-1563
Mailing Address - Street 1:53 MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-4103
Mailing Address - Country:US
Mailing Address - Phone:302-898-1563
Mailing Address - Fax:
Practice Address - Street 1:53 MEADOW DR
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-4103
Practice Address - Country:US
Practice Address - Phone:302-898-1563
Practice Address - Fax:888-330-8395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-30
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE2009602420251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health