Provider Demographics
NPI:1154657427
Name:DELMAR INJURY AND FAMILY CARE, LLC
Entity type:Organization
Organization Name:DELMAR INJURY AND FAMILY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:J
Authorized Official - Last Name:MATHENY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-846-3244
Mailing Address - Street 1:14738 ARVEY RD
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:DE
Mailing Address - Zip Code:19956-3068
Mailing Address - Country:US
Mailing Address - Phone:302-943-8950
Mailing Address - Fax:
Practice Address - Street 1:38650 SUSSEX HWY UNIT 9
Practice Address - Street 2:
Practice Address - City:DELMAR
Practice Address - State:DE
Practice Address - Zip Code:19940-3527
Practice Address - Country:US
Practice Address - Phone:302-846-3244
Practice Address - Fax:302-846-3255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-21
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center