Provider Demographics
NPI:1376348052
Name:AFRA HEALTH - DELAWARE, LLC
Entity type:Organization
Organization Name:AFRA HEALTH - DELAWARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:GODFRED
Authorized Official - Middle Name:
Authorized Official - Last Name:EYIAH-MENSAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:814-419-6863
Mailing Address - Street 1:301 E MACDADE BLVD FL 1
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:PA
Mailing Address - Zip Code:19033-2622
Mailing Address - Country:US
Mailing Address - Phone:888-707-2372
Mailing Address - Fax:888-919-6863
Practice Address - Street 1:16192 COASTAL HWY
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-3608
Practice Address - Country:US
Practice Address - Phone:888-707-2372
Practice Address - Fax:888-919-6863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-17
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty