| Organization Name: | STATE OF DELAWARE |
| NPI Number: | 1003995267 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KARYL RATTAY (DIRECTOR) |
| Mailing Address: | 417 Federal St Dover |
| State: | DE US |
| Postal Code: | 199013635 |
| Phone Number: | 3027444548 |
| Fax Number: | 3027391613 |
| NPI Enumeration Date: | 11/06/2006 |
| NPI Last Update Date: | 12/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP0905X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Public Health, State or Local |
| Taxonomy Definition: | |