STATE OF DELAWARE-STOCKLEY is an intermediate care facility mentally retarded in Georgetown, DE. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. STATE OF DELAWARE-STOCKLEY NPI is 1962557561. The provider is registered as an organization entity type.
The provider Other Name Is Stockley Center.
The provider's business location address is:
26351 PATRIOTS WAY
GEORGETOWN, DE
ZIP 19947-575
Phone: (302) 933-3000
Fax: (302) 934-1376
The provider's authorized official is Nicole F. Johnson .
The authorized official title is Social Service Chief Administrator and has the following contact phone number (302) 741-9349.
The CLIA number assigned to this NPI record is 08D0644877 - intermediate care facility/individuals with intellectual disability with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/24/2007 and was last updated on 2/26/2021.