Provider Demographics
NPI:1255589982
Name:GHR CORP
Entity type:Organization
Organization Name:GHR CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:HUGHES
Authorized Official - Last Name:SWANN
Authorized Official - Suffix:
Authorized Official - Credentials:NURSINFG LIC
Authorized Official - Phone:302-670-9822
Mailing Address - Street 1:191 PINE CONE DR
Mailing Address - Street 2:NONE
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-1976
Mailing Address - Country:US
Mailing Address - Phone:302-670-9822
Mailing Address - Fax:
Practice Address - Street 1:191 PINE CONE DR
Practice Address - Street 2:NONE
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-1976
Practice Address - Country:US
Practice Address - Phone:302-670-9822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-06
Last Update Date:2008-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL200029793104A0630X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances