| Rehoboth Well | |
|
528 Bergenia Loop Bear DE 19701-4883 | |
| (302) 391-4611 | |
| Not Available |
| Full Name | Rehoboth Well |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 528 Bergenia Loop, Bear, Delaware |
| Authorized Official Name and Position | Althea Maureen Titus-grant (OWNER) |
| Authorized Official Contact | 3023914611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rehoboth Well 528 Bergenia Loop Bear DE 19701-4883 Ph: (302) 391-4611 | Rehoboth Well 528 Bergenia Loop Bear DE 19701-4883 Ph: (302) 391-4611 |
| NPI Number | 1750003380 |
|---|---|
| Provider Enumeration Date | 09/12/2022 |
| Last Update Date | 09/12/2022 |
| Certification Date | 09/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750003380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (NU) | Primary |
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