Provider Demographics
NPI:1194869065
Name:STATE OF DELAWARE
Entity type:Organization
Organization Name:STATE OF DELAWARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEAD OF SCHOOL
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-575-1190
Mailing Address - Street 1:1121 THATCHER ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19802-5135
Mailing Address - Country:US
Mailing Address - Phone:302-575-1190
Mailing Address - Fax:302-575-1425
Practice Address - Street 1:1121 THATCHER ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19802-5135
Practice Address - Country:US
Practice Address - Phone:302-575-1190
Practice Address - Fax:302-575-1425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)