| Isaiah Home 613 | |
|
108 Grove Mansion Way Bear DE 19701-1435 | |
| (302) 275-8938 | |
| Not Available |
| Full Name | Isaiah Home 613 |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 108 Grove Mansion Way, Bear, Delaware |
| Authorized Official Name and Position | Eboni Fountain (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3022758938 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Isaiah Home 613 108 Grove Mansion Way Bear DE 19701-1435 Ph: (302) 275-8938 | Isaiah Home 613 108 Grove Mansion Way Bear DE 19701-1435 Ph: (302) 275-8938 |
| NPI Number | 1104558097 |
|---|---|
| Provider Enumeration Date | 06/29/2022 |
| Last Update Date | 12/06/2024 |
| Certification Date | 12/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104558097 | NPI | - | NPPES |
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