Fellowship Health Resources, Inc
Organization Active NPI Mental Illness Community Based Residential Treatment Facility · Georgetown, DE
NPI 1619980018 · NPPES record last updated Oct 28, 2024
Key facts
- NPI
- 1619980018
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Illness Community Based Residential Treatment Facility 320800000X
- License
- 1062 (DE)
- Legal business name
- FELLOWSHIP HEALTH RESOURCES, INC
- Practice address
- 23769 Shortly Rd
Georgetown, DE 19947-4754 - Phone
- (302) 856-7642
- Fax
- (302) 856-7658
- NPI assigned
- Aug 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Donna Busch
- Title
- Dir Contracts & Credentialing
- Phone
- (445) 201-3028
Corporate family (same tax ID) 6
National Provider Directory
- Tax ID family
- Fellowship HLTH Resources
Locations
23769 Shortly Rd
Georgetown, DE 19947
Phone (215) 386-3838
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | 1062 | DE | Yes |
Addresses
Primary practice location
23769 Shortly Rd
Georgetown, DE 19947-4754
Mailing address
24 Albion Rd Ste 420
Lincoln, RI 02865-3744
Phone (401) 333-3980
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000333061 | Medicaid | DE |
Other names
- Elwyn Adult Behavioral Health Services
Other providers in Georgetown, DE
- Ashley Nicole Elksnis
- Tristan Engle
- Adrienne Evans
- Vincenza Linda Fabber
- Jennifer Farrelly
- Fellowship Health Resources, Inc
- Amy P Fibelkorn
- Five Regions Residential & Community Services LLC
- Patricia Flecha Amarante
- Logan Brooke Duncan Ford
All providers in Georgetown, DE · Mental Illness Community Based Residential Treatment Facility in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2024. 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.