Healthcare Provider Details

I. General information

NPI: 1043791817
Provider Name (Legal Business Name): RONALD MCDONALD HOUSE OF DELAWARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2018
Last Update Date: 03/31/2023
Certification Date: 03/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 ROCKLAND RD
WILMINGTON DE
19803
US

IV. Provider business mailing address

1901 ROCKLAND RD
WILMINGTON DE
19803-3629
US

V. Phone/Fax

Practice location:
  • Phone: 302-656-4847
  • Fax:
Mailing address:
  • Phone: 302-656-4847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number StateDE
# 3
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number StateDE
# 4
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number StateDE

VIII. Authorized Official

Name: PAM W CORNFORTH
Title or Position: PRESIDENT/CEO
Credential:
Phone: 302-428-5311