Provider Demographics
NPI:1598812356
Name:PEACH TREE ACRES
Entity Type:Organization
Organization Name:PEACH TREE ACRES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MALANEY
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:302-684-4002
Mailing Address - Street 1:26900 LEWES GEORGETOWN HWY
Mailing Address - Street 2:
Mailing Address - City:HARBESON
Mailing Address - State:DE
Mailing Address - Zip Code:19951-2855
Mailing Address - Country:US
Mailing Address - Phone:302-684-4002
Mailing Address - Fax:
Practice Address - Street 1:26900 LEWES GEORGETOWN HWY
Practice Address - Street 2:
Practice Address - City:HARBESON
Practice Address - State:DE
Practice Address - Zip Code:19951-2855
Practice Address - Country:US
Practice Address - Phone:302-684-4002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE1303310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility