MEDICARE: GENERAL HEALTHCARE RESOURCES, 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
1	251G00000X	Community Based Hospice Care Agency		DE

General Provider Information

NPI Number	:	1467579912
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENERAL HEALTHCARE RESOURCES, INC.

Provider Business Mailing Address
First Line	:	213 HANSOME WAY E
Second Line	:
City	:	BEAR
State	:	DE
Zip	:	19701-1154
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5700 KIRKWOOD HWY
Second Line	:	SUITE 203
City	:	WILMINGTON
State	:	DE
Zip	:	19808-4857
Country	:	US
Telephone Number	:	302-998-0298
Fax Number	:

Authorized Official
Title or Position	:	SUPERVISOR
Name	:	JEANINE SGROI
Credential	:
Telephone Number	:	302-998-6474

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	07/14/2008

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