State of Delaware
NPI #1255489548 in Milford, Delaware
Provider Information
- NPI Number
- 1255489548
- Entity Type
- Organization
- Organization Name
- State of Delaware
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Jan 5, 2007
- Last Updated
- Aug 20, 2023
Practice Location
Authorized Official
- Name
- JOHN CLIFTON CANNON
- Title
- REGULATORY SPECIALIST
- Phone
- (302) 424-8533
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
| Skilled Nursing Facility |
| Nursing Facility/Intermediate Care Facility |
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