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Delta Community Supports, INC.

Community/Behavioral Health in Millville, NJ. Organization (NPI-2).

NPI number1114309697
StatusActive
Last updated in NPPESJun 22, 2015

Details

NPI
1114309697
Entity type
Organization (NPI-2)
Legal business name
Delta Community Supports, INC.
Organization subpart
No
Enumeration date
Jun 22, 2015
Last updated
Jun 22, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
251C00000X Day Training, Developmentally Disabled Services––
253Z00000X In Home Supportive Care––

Practice location

25 S Ladow Ave
Apt #9a
Millville, NJ 08332-1489

Phone 856-825-2268

Mailing address

1777 Sentry Pkwy W
Gwynedd Hall, Suite 400
Blue Bell, PA 19422-2207

Phone 215-654-1000

Authorized official

David A. Wyher
President/Ceo
2156541000

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