State of Delaware

NPI #1669977930 in Dover, Delaware

Provider Information

NPI Number: 1669977930
Entity Type: Organization
Organization Name: State of Delaware
Primary Specialty: Case Management
Enumeration Date: Mar 28, 2018
Last Updated: Mar 28, 2018

Practice Location

Address: 1054 S GOVERNORS AVE
City: Dover
State: Delaware
ZIP Code: 19904-6920
Phone: (302) 741-9349

Authorized Official

Name: NICOLE FAUCHER JOHNSON
Title: SOCIAL SERVICE CHIEF ADMINISTRATOR
Phone: (302) 741-9349

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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