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NPI Code Detail

MEDICARE: THE MILTON AND HATTIE KUTZ HOME, INC.

MEDICARE: THE MILTON AND HATTIE KUTZ HOME, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility1154DE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235135732
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE MILTON AND HATTIE KUTZ HOME, INC.
Provider Business Mailing Address
First Line : 704 RIVER RD
Second Line :
City : WILMINGTON
State : DE
Zip : 19809-2746
Country : US
Telephone Number : 302-764-7000
Fax Number : 302-764-2224
Provider Business Practice Location Address
First Line : 704 RIVER RD
Second Line :
City : WILMINGTON
State : DE
Zip : 19809-2746
Country : US
Telephone Number : 302-764-7000
Fax Number : 302-764-2224
Authorized Official
Title or Position : CFO
Name : MR. DAVID D BACHER
Credential : CPA
Telephone Number : 302-764-7000
Provider Enumeration Date : 06/21/2005
Last Update Date : 08/29/2012

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Directions to “THE MILTON AND HATTIE KUTZ HOME, INC. ” Practice Location

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