Provider Demographics
NPI:1821715178
Name:EKWE, LOIS
Entity Type:Individual
Prefix:DR
First Name:LOIS
Middle Name:
Last Name:EKWE
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:LOIS
Other - Middle Name:
Other - Last Name:EKWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 CONTINENTAL DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-4334
Mailing Address - Country:US
Mailing Address - Phone:302-345-6199
Mailing Address - Fax:
Practice Address - Street 1:200 CONTINENTAL DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-4334
Practice Address - Country:US
Practice Address - Phone:302-345-6199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-26
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE3108253Z00000X, 310500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness
Yes253Z00000XAgenciesIn Home Supportive Care