Provider Demographics
NPI:1013452986
Name:CARING MINDS MEDICAL CENTER LLC
Entity Type:Organization
Organization Name:CARING MINDS MEDICAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRNP/CEO
Authorized Official - Prefix:
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKOUEGNON
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:267-243-9102
Mailing Address - Street 1:5235 W WOODMILL DR
Mailing Address - Street 2:SUITE 46
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-4068
Mailing Address - Country:US
Mailing Address - Phone:267-243-9102
Mailing Address - Fax:215-743-0717
Practice Address - Street 1:5235 W WOODMILL DR
Practice Address - Street 2:SUITE 46
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-4068
Practice Address - Country:US
Practice Address - Phone:267-243-9102
Practice Address - Fax:215-743-0717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-30
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELP-0000135261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care