State of Delaware
NPI #1558417683 in Georgetown, Delaware
Provider Information
- NPI Number
- 1558417683
- Entity Type
- Organization
- Organization Name
- State of Delaware
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Jan 25, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 26351 PATRIOTS WAY
- City
- Georgetown
- State
- Delaware
- ZIP Code
- 19947-2575
- Phone
- (302) 933-3000
Authorized Official
- Name
- MS. VALERIE J. SMITH
- Title
- CHIEF OF ADMINISTRATION
- Phone
- (302) 744-9600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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