Healthcare Provider Details

I. General information

NPI: 1205758026
Provider Name (Legal Business Name): PRECIOUS COMMUNITY LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 PEACHTREE LN
MIDDLETOWN DE
19709-9397
US

IV. Provider business mailing address

108 PEACHTREE LN
MIDDLETOWN DE
19709-9397
US

V. Phone/Fax

Practice location:
  • Phone: 302-559-8573
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number State

VIII. Authorized Official

Name: STELLAH ONSOMU
Title or Position: MANAGING DIRECTOR
Credential: APRN
Phone: 302-559-8573