Provider Demographics
NPI:1750661823
Name:DELAWARE HOSPICE, INC.
Entity Type:Organization
Organization Name:DELAWARE HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:LLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN
Authorized Official - Phone:302-478-5707
Mailing Address - Street 1:3515 SILVERSIDE RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-4906
Mailing Address - Country:US
Mailing Address - Phone:302-478-5707
Mailing Address - Fax:302-479-2586
Practice Address - Street 1:1786 WILMINGTON W CHESTER PIKE STE 200A
Practice Address - Street 2:
Practice Address - City:GLEN MILLS
Practice Address - State:PA
Practice Address - Zip Code:19342-8198
Practice Address - Country:US
Practice Address - Phone:302-478-5707
Practice Address - Fax:302-478-7517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-22
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEHSPC-001251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based