| NPI | 1356336622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE LEE COLANGELO Administrator 302-846-3077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: DE 1028) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2020-08-22 |