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General NPI Number Information
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NPI Number | 1912856634
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Entity Type | Organization
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Legal Business Name | FIVE REGIONS RESIDENTIAL & COMMUNITY SERVICES LLC
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Dates
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Enumeration Date | 01/26/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 32055 LIGHT ST UNIT 4301
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City | GEORGETOWN
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State | DE
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Zip | 19947-5495
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Country | US
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Telephone | 302-245-5218
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Fax |
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Provider Business Mailing Address
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Address Line | 32055 LIGHT ST UNIT 4301
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City | GEORGETOWN
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State | DE
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Zip | 19947-5495
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Country | US
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Telephone | 302-245-5218
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. BRANDON SCOTT LEGREE
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Credential |
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Telephone | 302-245-5218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 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 #4
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #10
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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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