NPI 1255489548

State of Delaware

Organisation Nursing Facility/Intermediate Care Facility Milford, DE

Practice location

Address: 100 Delaware Veterans Blvd, Milford, DE 19963-5395
Phone: (302) 424-6000
Fax: (302) 424-6009

Authorised official

Name: John Clifton Cannon
Title: Regulatory Specialist
Phone: (302) 424-8533

Registered specialties (3)

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X

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Dental Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QD0000X

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Skilled Nursing Facility

Nursing & Custodial Care Facilities Taxonomy 314000000X

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Registry record

NPI: 1255489548
Entity type: Organization
NPI issued: 5 Jan 2007
Record last updated: 20 Aug 2023

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.