| Homefront Llc | |
|
1000 N West St Wilmington DE 19801-1050 | |
| (302) 409-1935 | |
| Not Available |
| Full Name | Homefront Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1000 N West St, Wilmington, Delaware |
| Authorized Official Name and Position | Joyce Helen Keene (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 2154070463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Homefront Llc 2580 Pioneer Rd Hatboro PA 19040-2522 Ph: (215) 407-0463 | Homefront Llc 1000 N West St Wilmington DE 19801-1050 Ph: (302) 409-1935 |
| NPI Number | 1063789089 |
|---|---|
| Provider Enumeration Date | 11/18/2011 |
| Last Update Date | 11/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063789089 | NPI | - | NPPES |
| 1952678120 | Other | INDIVIDUAL NPI NUMBER, NPPES, JOYCE KEENE | |
| 1255579538 | Other | GLORIA FOX, INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | PC-0000564 (Delaware) | Primary |
| 101YM0800X | Counselor - Mental Health | PC-0000135 (Delaware) | Secondary |
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