Organization
KINGSTREE GROUP INC
Active
Organization
KINGSTREE GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA C MARRA RN,BSN (NURSE CASE COORDINATOR)
(888) 853-6412
Entity
Organization
Contact information
Practice address
900 W VALLEY RD STE 300, WAYNE, PA 19087-1852
(888) 853-6412
(888) 898-3857
Mailing address
405 HOLSTEIN CT, MIDDLETOWN, DE 19709-6811
(888) 898-3857
(888) 898-3857
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
L10030304
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L10030304
DELAWARE NURSING LICENSE
DE
Enumeration date
01/26/2013
Last updated
01/26/2013
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