OrganizationActive
State of Delaware-Stockley
NPI 1962557561 · Intellectual Disabilities Intermediate Care Facility · Georgetown, DE
Provider details
- NPI number
- 1962557561
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Authorized official
- Nicole Johnson, Social Service Chief Administrator
- License
- 1047 (DE)
Practice location
26351 Patriots Way
Georgetown, DE 19947-2575
Phone: (302) 933-3000
Fax: (302) 934-1376
Mailing address
26351 Patriots Way
Georgetown, DE 19947-2575
Registry dates
- Enumerated
- 2007-01-24
- Last updated
- 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.