Healthcare Provider Details

I. General information

NPI: 1619919990
Provider Name (Legal Business Name): GENESIS PROPERTIES OF DELAWARE LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 06/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 MARVEL RD
MILFORD DE
19963-1740
US

IV. Provider business mailing address

101 E STATE ST
KENNETT SQUARE PA
19348-3109
US

V. Phone/Fax

Practice location:
  • Phone: 302-422-3303
  • Fax: 302-422-9013
Mailing address:
  • Phone: 610-925-4436
  • Fax: 610-925-4351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number1155
License Number StateDE

VIII. Authorized Official

Name: JANE DROPESKEY
Title or Position: QUALITY MANAGER
Credential:
Phone: 610-925-4231