Delaware Elwyn Supportive Employment | |
321 E 11th St Wilmington DE 19801-3422 | |
(215) 907-9666 | |
Not Available |
Full Name | Delaware Elwyn Supportive Employment |
---|---|
Speciality | Psychologist - Rehabilitation |
Location | 321 E 11th St, Wilmington, Delaware |
Authorized Official Name and Position | Donna Busch (PAYER AND CREDENTCIALING SPECIALIST) |
Authorized Official Contact | 4452063028 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Delaware Elwyn Supportive Employment 111 Elwyn Rd Media PA 19063-4622 Ph: (610) 497-8972 | Delaware Elwyn Supportive Employment 321 E 11th St Wilmington DE 19801-3422 Ph: (215) 907-9666 |
NPI Number | 1306962691 |
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Provider Enumeration Date | 03/21/2007 |
Last Update Date | 10/21/2022 |
Certification Date | 10/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306962691 | NPI | - | NPPES |
000000664 | Other | DE | STATE PLAN |
221000664 | Other | DE | STATE PLAN |
000000001 | Medicaid | DE | |
000000008 | Other | DE | STATE PLAN |
222000664 | Other | DE | STATE PLAN |
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