NPI 1740342989
State Street Assisted Living
Practice location
- Address
- 21 N State St, Dover, DE 19901-3802
- Phone
- (302) 674-2144
- Fax
- (302) 674-2048
Authorised official
- Name
- Jackie Tuxward
- Title
- Business Office Manager
- Phone
- (302) 674-2144
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1740342989
- Entity type
- Organization
- NPI issued
- 14 Dec 2006
- Record last updated
- 22 Aug 2020
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.