Organization
STATE OF DELAWARE-DDDS AS.LIV
Active
Organization
STATE OF DELAWARE-DDDS AS.LIV
Active
Other names
DDDS Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE F. JOHNSON (SOCIAL SERVICE CHIEF ADMINISTRATOR)
(302) 741-9349
Entity
Organization
Contact information
Practice address
26351 PATRIOTS WAY, GEORGETOWN, DE 19947-2575
(302) 933-3000
Mailing address
1056 S GOVERNORS AVE, WOODBROOK PROFESSIONAL CTR, STE. 101, DOVER, DE 19904-6920
(302) 744-9600
(302) 744-7631
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1481
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001150374
—
DE
Enumeration date
01/25/2007
Last updated
02/26/2021
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