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State of Delaware-Ddds As.liv — NPI 1093860264, Georgetown, DE | NPI Central

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NPI 1093860264

OrganizationActive

State of Delaware-Ddds As.liv

NPI 1093860264 · Assisted Living Facility · Georgetown, DE

Provider details

NPI number: 1093860264
Entity type: Organization
Primary specialty: Assisted Living FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Nicole Johnson, Social Service Chief Administrator(302) 741-9349
License: 1481 (DE)

Specialties & taxonomies

Assisted Living FacilityPrimary310400000XLicense 1481 (DE)
Nursing & Custodial Care Facilities

Practice location

26351 Patriots Way

Georgetown, DE 19947-2575

Phone: (302) 933-3000

Approximate (ZIP-level) locationGet directions

More DE providers

Mailing address

1056 S Governors Ave

Dover, DE 19904-6920

Other names (DBA / former)

Other name: Ddds Assisted Living
Other name: Ddds Assisted Living

Registry dates

Enumerated: 2007-01-25
Last updated: 2021-02-26
Certified: 2021-02-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.