Provider Demographics
NPI:1891930905
Name:ST. FRANCIS HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:ST. FRANCIS HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. V.P. MEDICAL AFFAIRS
Authorized Official - Prefix:
Authorized Official - First Name:VALENTINE
Authorized Official - Middle Name:J
Authorized Official - Last Name:BURROUGHS
Authorized Official - Suffix:
Authorized Official - Credentials:MD MBA
Authorized Official - Phone:302-575-8077
Mailing Address - Street 1:537 STANTON-CHRISTIANA ROAD
Mailing Address - Street 2:APEX MEDICAL CENTER SUITE 103
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2145
Mailing Address - Country:US
Mailing Address - Phone:302-421-4121
Mailing Address - Fax:302-225-2504
Practice Address - Street 1:537 STANTON-CHRISTIANA ROAD
Practice Address - Street 2:APEX MEDICAL CENTER SUITE 103
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2145
Practice Address - Country:US
Practice Address - Phone:302-421-4121
Practice Address - Fax:302-225-2504
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST. FRANCIS HEALTHCARE SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-12-04
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty