Organization
LAUREL SENIOR CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PENELOPE DUNCAN (EXECUTIVE DIRECTOR)
(302) 875-2536
Entity
Organization
Contact information
Practice address
113 N. CENTRAL AVE., LAUREL, DE 19956-0064
(302) 875-2536
(302) 875-2883
Mailing address
113 N. CENTRAL AVENUE, P.O. BO X 64, LAUREL, DE 19956-0064
(302) 875-2536
(302) 875-2883
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
ADC-006
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000834455
—
DE
Enumeration date
12/08/2006
Last updated
08/22/2020
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