| Isaiah Home 613 Inc | |
|
260 Chapman Rd Ste 104b Newark DE 19702-5410 | |
| (302) 499-2326 | |
| Not Available |
| Full Name | Isaiah Home 613 Inc |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 260 Chapman Rd Ste 104b, Newark, 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 Inc 260 Chapman Rd Ste 104b Newark DE 19702-5410 Ph: (302) 499-2326 | Isaiah Home 613 Inc 260 Chapman Rd Ste 104b Newark DE 19702-5410 Ph: (302) 499-2326 |
| NPI Number | 1104558097 |
|---|---|
| Provider Enumeration Date | 06/29/2022 |
| Last Update Date | 03/23/2026 |
| Certification Date | 03/23/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104558097 | NPI | - | NPPES |
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