Healthcare Provider Details

I. General information

NPI: 1376687244
Provider Name (Legal Business Name): DELAWARE EARLY CHILDHOOD CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W MISPILLION ST
HARRINGTON DE
19952-1027
US

IV. Provider business mailing address

100 W MISPILLION ST
HARRINGTON DE
19952-1027
US

V. Phone/Fax

Practice location:
  • Phone: 302-398-8945
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: BRENDA MACK-BOWMAN
Title or Position: CSCRP EDUCATION SPECIALIST
Credential:
Phone: 302-735-4071