Healthcare Provider Details

I. General information

NPI: 1861306748
Provider Name (Legal Business Name): AGREEABLE MANNERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 BOGGS LN.
BEAR DE
19701-1885
US

IV. Provider business mailing address

23 BOGGS LN.
BEAR DE
19701-1885
US

V. Phone/Fax

Practice location:
  • Phone: 302-983-6745
  • Fax:
Mailing address:
  • Phone: 302-983-6745
  • 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 Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. LYNETTE BASEY
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 302-983-6745