Advoserv Group Home, Inc.

NPI #1124347273 in Bear, Delaware

Provider Information

NPI Number: 1124347273
Entity Type: Organization
Organization Name: Advoserv Group Home, Inc.
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 27, 2010
Last Updated: May 27, 2010

Practice Location

Address: 4185 KIRKWOOD ST GEORGES RD
City: Bear
State: Delaware
ZIP Code: 19701-2272
Phone: (302) 834-7018

Authorized Official

Name: DR. JUDITH E FAVELL
Title: PRESIDENT
Phone: (352) 383-7612

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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