Healthcare Provider Details
I. General information
NPI: 1972255289
Provider Name (Legal Business Name): SHORE POINTE REHAB AND HEALTHCARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/19/2022
Last Update Date: 01/19/2022
Certification Date: 01/19/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
231 S WASHINGTON ST
MILLSBORO DE
19966-1236
US
IV. Provider business mailing address
231 S WASHINGTON ST
MILLSBORO DE
19966-1236
US
V. Phone/Fax
- Phone: 302-934-7300
- Fax:
- Phone: 302-934-7300
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MOSHE
A
STERN
Title or Position: AUTHORIZED MEMBER
Credential:
Phone: 848-249-7952