Organization
STATE OF DELAWARE
Active
Other names
State of Delaware - DDDS
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE FAUCHER JOHNSON (SOCIAL SERVICE CHIEF ADMINISTRATOR)
(302) 741-9349
Entity
Organization
Contact information
Practice address
1054 S GOVERNORS AVE, DOVER, DE 19904-6920
(302) 741-9349
Mailing address
1054 S GOVERNORS AVE, DOVER, DE 19904-6920
(302) 741-9349
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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