Organization
STATE STREET ASSISTED LIVING
Active
Organization
STATE STREET ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACKIE TUXWARD (BUSINESS OFFICE MANAGER)
(302) 674-2144
Entity
Organization
Contact information
Practice address
21 N STATE ST, DOVER, DE 19901-3802
(302) 674-2144
(302) 674-2048
Mailing address
21 N STATE ST, DOVER, DE 19901-3802
(302) 674-2144
(302) 674-2048
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1649
DE
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
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