Healthcare Provider Details
I. General information
NPI: 1033020037
Provider Name (Legal Business Name): JUST LIKE HOME RESIDENTIAL MANOR
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
192 BEAR CHRISTIANA RD
BEAR DE
19701-1196
US
IV. Provider business mailing address
192 BEAR CHRISTIANA RD
BEAR DE
19701-1196
US
V. Phone/Fax
- Phone: 302-203-8293
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 313M00000X |
| Taxonomy | Nursing Facility/Intermediate Care Facility |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRITTNEY
GRAHAM
Title or Position: OWNER
Credential: BSN/RN
Phone: 302-203-8293