Healthcare Provider Details

I. General information

NPI: 1407851645
Provider Name (Legal Business Name): FRANCISCAN ELDERCARE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2005
Last Update Date: 07/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 SAINT CLAIRE DRIVE
HOCKESSIN DE
19707-8906
US

IV. Provider business mailing address

100 SAINT CLAIRE DRIVE
HOCKESSIN DE
19707-8906
US

V. Phone/Fax

Practice location:
  • Phone: 302-234-5420
  • Fax: 302-234-5424
Mailing address:
  • Phone: 302-234-5420
  • Fax: 302-234-5424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number1118
License Number StateDE

VIII. Authorized Official

Name: DALE SZAFRAN
Title or Position: DIRECTOR OF FINANCIAL OPERATIONS
Credential:
Phone: 302-421-4665