| Patchwork Human Services | |
|
3301 Green St Claymont DE 19703-2052 | |
| (302) 981-4466 | |
| Not Available |
| Full Name | Patchwork Human Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 3301 Green St, Claymont, Delaware |
| Authorized Official Name and Position | Ebony T Maddrey (OWNER/ OPERATOR) |
| Authorized Official Contact | 3025016641 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patchwork Human Services 3301 Green St Claymont DE 19703-2052 Ph: () - | Patchwork Human Services 3301 Green St Claymont DE 19703-2052 Ph: (302) 981-4466 |
| NPI Number | 1952906380 |
|---|---|
| Provider Enumeration Date | 12/03/2020 |
| Last Update Date | 01/11/2024 |
| Certification Date | 01/11/2024 |
| Medicare PECOS PAC ID | 6406210129 |
|---|---|
| Medicare Enrollment ID | O20231220002803 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952906380 | NPI | - | NPPES |
| Provider Name | Ebony T Maddrey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790847515 PECOS PAC ID: 4082078985 Enrollment ID: I20240111004964 |
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