Provider Demographics
NPI:1801629019
Name:DELAWARE MEDICAL SUPPLY AND SERVICES LLC
Entity type:Organization
Organization Name:DELAWARE MEDICAL SUPPLY AND SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MOSES
Authorized Official - Middle Name:
Authorized Official - Last Name:ANYAEGBU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-257-8227
Mailing Address - Street 1:870 S GOVERNORS AVE
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-4108
Mailing Address - Country:US
Mailing Address - Phone:302-257-8227
Mailing Address - Fax:302-803-6219
Practice Address - Street 1:870 S GOVERNORS AVE
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-4108
Practice Address - Country:US
Practice Address - Phone:302-257-8227
Practice Address - Fax:302-803-6219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies