Isaiah Home 613
NPI #1104558097 in Bear, Delaware
Provider Information
- NPI Number
- 1104558097
- Entity Type
- Organization
- Organization Name
- Isaiah Home 613
- Primary Specialty
- Psychologist - Intellectual & Developmental Disabilities
- Enumeration Date
- Jun 29, 2022
- Last Updated
- Dec 6, 2024
Practice Location
Authorized Official
- Name
- EBONI FOUNTAIN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (302) 275-8938
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities |
Similar Providers
| Provider Name | |
|---|---|
| Ruth Maguta | |
| Stacey Scot-Mason | |
| Eboni Nicole Fountain | |
| Tarrius Hodge | |
| Nana Dapaah |
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