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General NPI Number Information
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NPI Number | 1053318261
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Entity Type | Organization
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Legal Business Name | PENINSULA UNITED METHODIST HOMES
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Dates
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Enumeration Date | 07/01/2005
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Last Update Date | 10/09/2007
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Provider Practice Location Address
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Address Line | 4830 KENNETT PIKE
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City | WILMINGTON
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State | DE
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Zip | 19807-1866
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Country | US
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Telephone | 302-235-6066
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Fax | 302-235-6001
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Provider Business Mailing Address
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Address Line | 726 LOVEVILLE RD
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City | HOCKESSIN
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State | DE
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Zip | 19707-1515
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Country | US
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Telephone | 302-235-6066
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Fax | 302-235-6001
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Authorized Official
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Title or Position | EXEC VP/ CHIEF FINANCIAL OFFICER
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Name | MR. WILLIAM L. STARCHER JR.
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Credential |
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Telephone | 302-235-6066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C10002836
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License Number State | DE
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