NPI 1962557561

State of Delaware-Stockley

Organisation Intellectual Disabilities Intermediate Care Facility Georgetown, DE

Practice location

Address: 26351 Patriots Way, Georgetown, DE 19947-2575
Phone: (302) 933-3000
Fax: (302) 934-1376

Authorised official

Name: Nicole F. Johnson
Title: Social Service Chief Administrator
Phone: (302) 741-9349

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 1047 (DE)

Other Intermediate Care Facility, Intellectual Disabilities providers in Delaware →

Registry record

NPI: 1962557561
Entity type: Organization
NPI issued: 24 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.