OrganizationActive
State Street Assisted Living
NPI 1740342989 · Assisted Living Facility · Dover, DE
Provider details
- NPI number
- 1740342989
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jackie Tuxward, Business Office Manager(302) 674-2144
- License
- 1649 (DE)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
21 N State St
Dover, DE 19901-3802
Phone: (302) 674-2144
Fax: (302) 674-2048
Approximate (ZIP-level) locationGet directions
Mailing address
21 N State St
Dover, DE 19901-3802
Registry dates
- Enumerated
- 2006-12-14
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.