Organization
PENINSULA HEALTHCARE SERVICES LLC
Active
Other names
Renaissance Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN LITWA (CONTROLLER)
(484) 731-2500
Entity
Organization
Contact information
Practice address
26002 JOHN J WILLIAMS HWY, MILLSBORO, DE 19966-4948
(484) 731-2500
(484) 731-1234
Mailing address
26002 JOHN J WILLIAMS HWY, MILLSBORO, DE 19966-4948
(302) 947-4200
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538341615
—
DE
Enumeration date
11/30/2007
Last updated
12/18/2019
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