Healthcare Provider Details

I. General information

NPI: 1750222980
Provider Name (Legal Business Name): ELIZABETH EMBRACE COMMUNITY HOME, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73 HIDDEN BROOK BLVD
DOVER DE
19904-1896
US

IV. Provider business mailing address

73 HIDDEN BROOK BLVD
DOVER DE
19904-1896
US

V. Phone/Fax

Practice location:
  • Phone: 215-966-9782
  • Fax:
Mailing address:
  • Phone: 215-966-9782
  • 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 State

VIII. Authorized Official

Name: SARAH DAFILS
Title or Position: PROGRAM ADMINISTRATOR
Credential: RN BSN
Phone: 267-343-2839