Provider Demographics
NPI:1184217507
Name:MIDDLETOWN SENIOR LIVING PARTNERS, LLC.
Entity Type:Organization
Organization Name:MIDDLETOWN SENIOR LIVING PARTNERS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLTON
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:610-213-9102
Mailing Address - Street 1:820 MIDDLETOWN ODESSA RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-9049
Mailing Address - Country:US
Mailing Address - Phone:302-828-0988
Mailing Address - Fax:
Practice Address - Street 1:820 MIDDLETOWN ODESSA RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-9049
Practice Address - Country:US
Practice Address - Phone:302-828-0988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-17
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility