Delmarva Community Services Inc
Organization Active NPI Intellectual & Developmental Disabilities Psychologist · Hurlock, MD
NPI 1114088192 · NPPES record last updated Mar 9, 2021
Key facts
- NPI
- 1114088192
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual & Developmental Disabilities Psychologist 103TM1800X
- Legal business name
- DELMARVA COMMUNITY SERVICES INC
- Practice address
- 6210 Shiloh Church Hurlock Rd
Hurlock, MD 21613 - Phone
- (410) 943-1106
- NPI assigned
- Dec 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Santo A Grande
- Title
- Ceo
- Phone
- (410) 221-1900
National Provider Directory
Locations
2450 Cambridge Beltway
Cambridge, MD 21613
6210 Shiloh Church Hurlock Rd
Hurlock, MD 21643
Phone (410) 943-1106
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist |
103TM1800X | Yes | ||
| Rehabilitation Psychologist |
103TR0400X | |||
| Nursing Care Agency | 251J00000X | 10446 | MD |
Addresses
Primary practice location
6210 Shiloh Church Hurlock Rd
Hurlock, MD 21613
Mailing address
2450 Cambridge Beltway
Cambridge, MD 21613-3679
Phone (410) 221-1900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 334333200 | Medicaid | MD | |
| 0000722856 | Medicaid | DE | |
| 024613100 | Medicaid | MD |
Other providers in Hurlock, MD
- Choptank Community Health System Inc
- Choptank Community Health System Inc
- Choptank Community Health System Inc
- Choptank Community Health System Inc
- Richard James Davis
- Dorchester County Commissioners
- Dorchester County Health Department
- Dorchester County Health Department
- Dorchester County Health Department - SBWC-MH - Hurlock
- Dorchester County Health Department - SBWC-MH - NDHS
All providers in Hurlock, MD · Intellectual & Developmental Disabilities Psychologist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.