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
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