Provider Demographics
NPI:1043791817
Name:RONALD MCDONALD HOUSE OF DELAWARE INC.
Entity Type:Organization
Organization Name:RONALD MCDONALD HOUSE OF DELAWARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAM
Authorized Official - Middle Name:W
Authorized Official - Last Name:CORNFORTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-428-5311
Mailing Address - Street 1:1901 ROCKLAND RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-3629
Mailing Address - Country:US
Mailing Address - Phone:302-656-4847
Mailing Address - Fax:
Practice Address - Street 1:1901 ROCKLAND RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803
Practice Address - Country:US
Practice Address - Phone:302-656-4847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-28
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE174200000X, 177F00000X, 251K00000X, 251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No174200000XOther Service ProvidersMeals
No177F00000XOther Service ProvidersLodging
No251V00000XAgenciesVoluntary or Charitable