State of Delaware-Ddds As.liv
NPI #1093860264 in Georgetown, Delaware
Provider Information
- NPI Number
- 1093860264
- Entity Type
- Organization
- Organization Name
- State of Delaware-Ddds As.liv
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jan 25, 2007
- Last Updated
- Feb 26, 2021
Practice Location
- Address
- 26351 PATRIOTS WAY
- City
- Georgetown
- State
- Delaware
- ZIP Code
- 19947-2575
- Phone
- (302) 933-3000
Authorized Official
- Name
- MRS. NICOLE F. JOHNSON
- Title
- SOCIAL SERVICE CHIEF ADMINISTRATOR
- Phone
- (302) 741-9349
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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