Provider Demographics
NPI:1437493723
Name:NANTICOKE SENIOR CENTER
Entity Type:Organization
Organization Name:NANTICOKE SENIOR CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:K
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-629-4939
Mailing Address - Street 1:1001 W LOCUST ST
Mailing Address - Street 2:P. O. BOX 406
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-2124
Mailing Address - Country:US
Mailing Address - Phone:302-629-4939
Mailing Address - Fax:302-629-2698
Practice Address - Street 1:1001 W LOCUST ST
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-2124
Practice Address - Country:US
Practice Address - Phone:302-629-4939
Practice Address - Fax:302-629-2698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-27
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE332U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals