Healthcare Provider Details

I. General information

NPI: 1144658303
Provider Name (Legal Business Name): BEAR HEALTH CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2013
Last Update Date: 10/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 GLENDRIFF DR
BEAR DE
19701-1990
US

IV. Provider business mailing address

706 GLENDRIFF DRIVE
BEAR DE
19701
US

V. Phone/Fax

Practice location:
  • Phone: 302-827-3324
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number2013604668
License Number StateDE

VIII. Authorized Official

Name: MR. FELIX OLAOYE
Title or Position: PUBLIC RELATIONS MANAGER
Credential:
Phone: 267-254-1254