| Vista Healthcare Services Llc | |
|
590 Naamans Rd Ste 219 Claymont DE 19703-2308 | |
| (302) 299-3996 | |
| (302) 724-4795 |
| Full Name | Vista Healthcare Services Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 590 Naamans Rd Ste 219, Claymont, Delaware |
| Authorized Official Name and Position | Serah Muhoro (OWNER) |
| Authorized Official Contact | 3022993996 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Healthcare Services Llc 590 Naamans Rd Ste 219 Claymont DE 19703-2308 Ph: (302) 299-3996 | Vista Healthcare Services Llc 590 Naamans Rd Ste 219 Claymont DE 19703-2308 Ph: (302) 299-3996 |
| NPI Number | 1679295448 |
|---|---|
| Provider Enumeration Date | 09/16/2022 |
| Last Update Date | 12/12/2023 |
| Medicare PECOS PAC ID | 9638532278 |
|---|---|
| Medicare Enrollment ID | O20230829003668 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679295448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Serah W Muhoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184134801 PECOS PAC ID: 9032475041 Enrollment ID: I20171108000184 |
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