Organization
STATE OF DELAWARE
Active
Other names
General Practice Stockley Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALERIE J. SMITH (CHIEF OF ADMINISTRATION)
(302) 744-9600
Entity
Organization
Contact information
Practice address
26351 PATRIOTS WAY, GEORGETOWN, DE 19947-2575
(302) 933-3000
(302) 934-1376
Mailing address
26351 PATRIOTS WAY, GEORGETOWN, DE 19947-2575
(302) 933-3000
(302) 934-1376
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
1047
DE
Other
Enumeration date
01/25/2007
Last updated
08/22/2020
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