Provider Demographics
NPI:1760720452
Name:RED LION VETERINARY HOSPITAL LLC
Entity Type:Organization
Organization Name:RED LION VETERINARY HOSPITAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/VETERANARIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:M
Authorized Official - Last Name:MANETTI
Authorized Official - Suffix:
Authorized Official - Credentials:VMD
Authorized Official - Phone:302-834-2250
Mailing Address - Street 1:1047 RED LION RD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720
Mailing Address - Country:US
Mailing Address - Phone:302-834-2250
Mailing Address - Fax:302-834-4535
Practice Address - Street 1:1047 RED LION RD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720
Practice Address - Country:US
Practice Address - Phone:302-834-2250
Practice Address - Fax:302-834-4535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-30
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174M00000XOther Service ProvidersVeterinarianGroup - Single Specialty