Healthcare Provider Details

I. General information

NPI: 1023372638
Provider Name (Legal Business Name): HORIZON HOUSE DELAWARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2012
Last Update Date: 06/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20793 PROFESSIONAL PARK BLVD
GEORGETOWN DE
19947-3198
US

IV. Provider business mailing address

20793 PROFESSIONAL PARK BLVD
GEORGETOWN DE
19947-3198
US

V. Phone/Fax

Practice location:
  • Phone: 302-655-7108
  • Fax: 302-655-0689
Mailing address:
  • Phone: 302-655-7108
  • Fax: 302-655-0689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. JEFFREY W.J. WILUSH
Title or Position: PRESIDENT & CEO
Credential:
Phone: 215-386-3838