Provider Demographics
NPI:1376385047
Name:DELEONCARE LLC
Entity type:Organization
Organization Name:DELEONCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:DREW
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:508-662-4900
Mailing Address - Street 1:26 LINDEN ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01841-4545
Mailing Address - Country:US
Mailing Address - Phone:508-662-4900
Mailing Address - Fax:603-372-5930
Practice Address - Street 1:49 BLANCHARD ST STE 203-3
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843-1454
Practice Address - Country:US
Practice Address - Phone:570-703-3177
Practice Address - Fax:603-372-5930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty