- Enrollment id
- O20150415000778
- Enrollment state
- DE
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1336539717
- Multiple npi flag
- N
- Ccn
- 085041
- Associate id
- 2860710241
- Organization name
- 101 E DELAWARE AVE OPERATIONS LLC
- Incorporation date
- 2015-01-16
- Incorporation state
- DE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- DELMAR NURSING & REHABILITATION CENTER
- Affiliation entity name
- EDEN HEALTHCARE
- Affiliation entity id
- 191
- Address line 1
- 101 EAST DELAWARE AVENUE
- Address line 2
- DELMAR NURSING AND REHABILITATION CENTER
- City
- DELMAR
- State
- DE
- Zip code
- 199401110