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General NPI Number Information
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NPI Number | 1659039386
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Entity Type | Organization
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Legal Business Name | DELTA COMMUNITY SUPPORTS, INC.
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Dates
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Enumeration Date | 11/30/2021
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Last Update Date | 11/30/2021
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Provider Practice Location Address
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Address Line | 1130 ROUTE 202 STE C1
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City | RARITAN
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State | NJ
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Zip | 08869-1493
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Country | US
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Telephone | 908-707-8844
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Fax |
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Provider Business Mailing Address
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Address Line | 1777 SENTRY PARKWAY WEST VEVA 14 SUITE 400
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City | BLUE BELL
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State | PA
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Zip | 19422-2207
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Country | US
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Telephone | 215-654-1000
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Fax | 215-641-0393
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Authorized Official
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Title or Position | ASSISTANT COST ACCOUNTANT
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Name | SARAH ANN SMITH-CLEWELL
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Credential |
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Telephone | 215-654-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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