State of Delaware-Stockley

NPI #1962557561 in Georgetown, Delaware

Provider Information

NPI Number
1962557561
Entity Type
Organization
Organization Name
State of Delaware-Stockley
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Jan 24, 2007
Last Updated
Feb 26, 2021

Practice Location

Address
26351 PATRIOTS WAY
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
Intermediate Care Facility, Intellectual Disabilities

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