Provider Demographics
NPI:1730223603
Name:STATE OF DELAWARE
Entity type:Organization
Organization Name:STATE OF DELAWARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:D
Authorized Official - Last Name:WICKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-653-8585
Mailing Address - Street 1:82 MONROVIA AVE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:DE
Mailing Address - Zip Code:19977-1431
Mailing Address - Country:US
Mailing Address - Phone:302-653-8585
Mailing Address - Fax:302-653-3149
Practice Address - Street 1:82 MONROVIA AVE
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977-1431
Practice Address - Country:US
Practice Address - Phone:302-653-8585
Practice Address - Fax:302-653-3149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)