LAUREL SENIOR CENTER, INC. (NPI# 1396804829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396804829 |
Entity Type | Organization |
Organization Name | LAUREL SENIOR CENTER, INC. |
Practice Address |
113 N. Central Ave. Laurel DE 19956-0064 |
Mailing Address |
113 N. Central Avenue P.o. Bo X 64 Laurel DE 19956-0064 |
Practice Telephone | 3028752536 |
Practice Fax Number | 3028752883 |
Mailing Telephone | 3028752536 |
Mailing Fax Number | 3028752883 |
Enumeration Date | 2006-12-08 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. PENELOPE DUNCAN (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 3028752536 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
ADC-006 | DE | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DE | 0000834455 | 05 |
Street Address |
113 N. CENTRAL AVE. |
City | LAUREL |
State | DE |
Zip Code | 19956-0064 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073021911 | Arlene Patricia Wood | Counselor | 517 Willow Street, Laurel, DE 19956 | 2018-01-12 |
1356897094 | Abigail Siple | Speech-Language Pathologist | 1160 South Central Ave, Laurel, DE 19956 | 2016-09-01 |
1750739207 | Erin Johnson | Specialist/Technologist | 14323 Laurel Rd, Laurel, DE 19956 | 2016-05-25 |
1922192434 | Antonio Pedro | Internal Medicine | 1124 South Central Ave, Laurel, DE 19956 | 2006-10-02 |
1043311095 | Shellene Marie Ball | Psychologist | 11023 Joe Warrington Dr, Laurel, DE 19956 | 2006-09-25 |
1972670479 | Janice M Mccandless Bruce | Registered Nurse | 11023 Joe Warrington Dr, Laurel, DE 19956 | 2006-11-29 |
1093800401 | Odilon Claravall | Internal Medicine | 1124 South Central Ave, Laurel, DE 19956 | 2006-10-03 |
1326174699 | Kathy Guthrie | Counselor | 111 Mechanic St, Laurel, DE 19956-1004 | 2007-02-23 |
1588984769 | Raffaela Ballard | Counselor | 111 Mechanic St, Laurel, DE 19956-1004 | 2010-06-10 |
1184649477 | Guillermo Bernal, Md | Specialist | 405 N Central Ave Ste A, Laurel, DE 19956-1104 | 2006-07-13 |
Find all providers in zip 19956 |
Taxonomy Code | 103TA0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Adult Development & Aging |
Definition to come... |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.