Organization
CHRISTIANA CARE RIVERSIDE ADULT DAY PROGRAM
Active
Organization
CHRISTIANA CARE RIVERSIDE ADULT DAY PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICH ELLIS (VICE PRESIDENT)
(302) 623-7202
Entity
Organization
Contact information
Practice address
700 LEA BLVD, WILMINGTON, DE 19802
(302) 765-4175
Mailing address
200 HYGEIA DR, ATTN DAVID TREFSGER, ROOM 2503, NEWARK, DE 19713-2049
(302) 623-7026
(302) 623-7374
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
ADC-009
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000519155
—
DE
Enumeration date
03/07/2007
Last updated
08/22/2020
Update your record
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