Provider Demographics
NPI:1952052318
Name:WILMINGTON VACCINES AND HEALTH SERVICES FRANCHISING INC
Entity Type:Organization
Organization Name:WILMINGTON VACCINES AND HEALTH SERVICES FRANCHISING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:FREDRICK
Authorized Official - Last Name:AMAKOBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-252-7279
Mailing Address - Street 1:274 LIBORIO DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-3109
Mailing Address - Country:US
Mailing Address - Phone:302-252-7279
Mailing Address - Fax:
Practice Address - Street 1:640 SOUTH ST
Practice Address - Street 2:
Practice Address - City:TOWNSEND
Practice Address - State:DE
Practice Address - Zip Code:19734-7714
Practice Address - Country:US
Practice Address - Phone:302-252-7279
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-17
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No251K00000XAgenciesPublic Health or Welfare
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care