CHRISTIANA CARE RIVERSIDE ADULT DAY PROGRAM NPI 1295865012

NPI Information

CHRISTIANA CARE RIVERSIDE ADULT DAY PROGRAM is an adult day care clinic center in Wilmington, DE. CHRISTIANA CARE RIVERSIDE ADULT DAY PROGRAM NPI is 1295865012. The provider is registered as an organization entity type.

The provider's business location address is:

700 LEA BLVD
WILMINGTON, DE
ZIP 19802
Phone: (302) 765-4175

The provider's authorized official is Rich Ellis .
The authorized official title is Vice President and has the following contact phone number (302) 623-7202.

The CLIA number assigned to this NPI record is 08D1069643 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/7/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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