NPI 1093860264
State of Delaware-Ddds As.Liv
Practice location
- Address
- 26351 Patriots Way, Georgetown, DE 19947-2575
- Phone
- (302) 933-3000
- Mailing address
- 1056 S Governors Ave Woodbrook Professional Ctr, STE. 101, Dover, DE 19904-6920
Authorised official
- Name
- Nicole F. Johnson
- Title
- Social Service Chief Administrator
- Phone
- (302) 741-9349
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1093860264
- Entity type
- Organization
- NPI issued
- 25 Jan 2007
- Record last updated
- 26 Feb 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.