OrganizationActive
Lighthouse Complex Care of Delaware Inc
NPI 1720797251 · Multi-Specialty Clinic/Center · Wilmington, DE
Provider details
- NPI number
- 1720797251
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Meera Manickam, Owner(302) 740-1347
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Practice location
2500 Grubb Rd Ste 123
Wilmington, DE 19810-4711
Phone: (302) 304-3417
Fax: (302) 467-2474
Approximate (ZIP-level) locationGet directions
Mailing address
2500 Grubb Rd Ste 123
Wilmington, DE 19810-4711
Registry dates
- Enumerated
- 2022-11-23
- Last updated
- 2024-04-02
- Certified
- 2024-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.