First State Residential Living LLC
NPI #1790344901 in New Castle, Delaware
Provider Information
- NPI Number
- 1790344901
- Entity Type
- Organization
- Organization Name
- First State Residential Living LLC
- Primary Specialty
- Psychologist - Intellectual & Developmental Disabilities
- Enumeration Date
- Jun 11, 2019
- Last Updated
- Jun 25, 2025
Practice Location
- Address
- 92 READS WAY UNIT 108
- City
- New Castle
- State
- Delaware
- ZIP Code
- 19720-1631
- Phone
- (302) 322-2743
Authorized Official
- Name
- NICHOLAS A. MANNINO JR.
- Title
- PRESIDENT
- Phone
- (302) 322-2743
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities |
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