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Organization

CONTACT LIFELINE

Active
Other names
Contact Delaware
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CARL E BURKE (EXECUTIVE DIRECTOR)
(302) 761-9800
Entity
Organization

Contact information

Practice address
314 BRANDYWINE BLVD, WILMINGTON, DE 19809-3242
(302) 761-9800
Mailing address
314 BRANDYWINE BLVD, WILMINGTON, DE 19809-3242

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary

Other

Enumeration date
12/29/2011
Last updated
12/29/2011
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