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FIVE STAR FOULK MANOR NORTH LLC

Assisted Living Facility

Wilmington, Delaware

Provider NPI: 1245256718

Organization Information:
Organization Name:  FIVE STAR FOULK MANOR NORTH LLC


Practice Location:
1212 FOULK RD  WILMINGTON, DE 19803 US
Tel: 302-478-4296  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
DE1306
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
DE1058

Other Provider Identifiers:

IssuerNumberStateType
0001188511DE05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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