Organization
STATE OF DELAWARE-STOCKLEY
Active
Other names
Stockley Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE F. JOHNSON (SOCIAL SERVICE CHIEF ADMINISTRATOR)
(302) 741-9349
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000031813
—
DE
Enumeration date
01/24/2007
Last updated
02/26/2021
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