Provider Demographics
NPI:1710224670
Name:INFUSION CARE OF DELAWARE , HOME DIVISION, LLC
Entity Type:Organization
Organization Name:INFUSION CARE OF DELAWARE , HOME DIVISION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER, CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:BURTON-YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:302-423-2511
Mailing Address - Street 1:9 N HAMPSHIRE CT
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:DE
Mailing Address - Zip Code:19807-2535
Mailing Address - Country:US
Mailing Address - Phone:302-423-2511
Mailing Address - Fax:302-993-1391
Practice Address - Street 1:9 N HAMPSHIRE CT
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:DE
Practice Address - Zip Code:19807-2535
Practice Address - Country:US
Practice Address - Phone:302-423-2511
Practice Address - Fax:302-993-1391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-12
Last Update Date:2013-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL10019326251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health