Provider Demographics
NPI:1700940459
Name:DELAWARE HEALTH AND SOCIAL SERVICES
Entity Type:Organization
Organization Name:DELAWARE HEALTH AND SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:WOMEN'S HEALTH NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:KURRY
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:302-378-5200
Mailing Address - Street 1:214 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-1002
Mailing Address - Country:US
Mailing Address - Phone:302-378-5200
Mailing Address - Fax:302-378-5202
Practice Address - Street 1:214 N BROAD ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-1002
Practice Address - Country:US
Practice Address - Phone:302-378-5200
Practice Address - Fax:302-378-5202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELH-0000128261QA0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility