| State Of Delaware | |
|
100 Delaware Veterans Blvd Milford DE 19963-5395 | |
| (302) 424-6000 | |
| (302) 424-6009 |
| Full Name | State Of Delaware |
|---|---|
| Speciality | Nursing Facility/Intermediate Care Facility |
| Location | 100 Delaware Veterans Blvd, Milford, Delaware |
| Authorized Official Name and Position | John Clifton Cannon (REGULATORY SPECIALIST) |
| Authorized Official Contact | 3024248533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| State Of Delaware 100 Delaware Veterans Blvd Milford DE 19963-5395 Ph: (302) 424-6040 | State Of Delaware 100 Delaware Veterans Blvd Milford DE 19963-5395 Ph: (302) 424-6000 |
| NPI Number | 1255489548 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 08/20/2023 |
| Medicare PECOS PAC ID | 6507756731 |
|---|---|
| Medicare Enrollment ID | O20070502000055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255489548 | NPI | - | NPPES |
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