Organization
STATE OF DELAWARE
Active
Other names
Delaware Veteran's Home
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CLIFTON CANNON (REGULATORY SPECIALIST)
(302) 424-8533
Entity
Organization
Contact information
Practice address
100 DELAWARE VETERANS BLVD, MILFORD, DE 19963-5395
(302) 424-6000
(302) 424-6009
Mailing address
100 DELAWARE VETERANS BLVD, MILFORD, DE 19963-5395
(302) 424-6040
(302) 424-6017
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Enumeration date
01/05/2007
Last updated
08/20/2023
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