Healthcare Provider Details

I. General information

NPI: 1083518393
Provider Name (Legal Business Name): JEVS HUMAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3315 KIRKWOOD HWY
WILMINGTON DE
19808-6131
US

IV. Provider business mailing address

1845 WALNUT ST FL 7
PHILADELPHIA PA
19103-4713
US

V. Phone/Fax

Practice location:
  • Phone: 302-690-0140
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARY HORSTMANN
Title or Position: DEPUTY CHIEF PROGRAM OFFICER
Credential:
Phone: 215-614-8355