BRANDYWINE HUNDRED FIRE CO. NO. 1 NPI 1376522359

NPI Information

BRANDYWINE HUNDRED FIRE CO. NO. 1 is a land transport ambulance in Wilmington, DE. BRANDYWINE HUNDRED FIRE CO. NO. 1 NPI is 1376522359. The provider is registered as an organization entity type.

The provider's business location address is:

1006 BRANDYWINE BLVD
WILMINGTON, DE
ZIP 19809-530
Phone: (302) 764-4901
Fax: (302) 764-1267

The provider's authorized official is Richard Thomas Perillo .
The authorized official title is President and has the following contact phone number (302) 764-4901.

The CLIA number assigned to this NPI record is 08D2249606 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/10/2006 and was last updated on 10/19/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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