State Of Delaware
Case Management in Dover, DE. Organization (NPI-2).
NPI number1669977930
StatusActive
Last updated in NPPESMar 28, 2018
Details
- NPI
- 1669977930
- Entity type
- Organization (NPI-2)
- Legal business name
- State Of Delaware
- Organization subpart
- No
- Enumeration date
- Mar 28, 2018
- Last updated
- Mar 28, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
Other names
- State Of Delaware - Ddds (Other Name)
Practice location
1054 S Governors AveDover, DE 19904-6920
Phone 302-741-9349
Mailing address
1054 S Governors AveDover, DE 19904-6920
Phone 302-741-9349
Authorized official
Nicole Faucher Johnson
Social Service Chief Administrator
3027419349
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