STATE OF DELAWARE

NEW CASTLE, DE
NPI1114512068
Entity TypeOrganization
Authorized ContactAWELE N. MADUKA-EZEH
Medical Director
302-739-5601
Organization Subpart ?Yes
Primary Taxonomy261QP2400X Clinic/Center Prison Health
Enumeration Date2021-03-03
Last Update Date2021-03-03
Business Address
STATE OF DELAWARE
660 BAYLOR BLVD
NEW CASTLE, DE 19720-1140
Phone number: 302-577-3004
Mailing Address
STATE OF DELAWARE
245 MCKEE RD
DOVER, DE 19904-2232
Phone number: