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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1212 FOULK RD WILMINGTON, DE 19803 US
Tel: 302-478-4296 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | DE | 1306 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | DE | 1058 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0001188511 | DE | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin